Pharmacy information available online

Anthem provides information about pharmacy benefits online at www.anthem.com/inmedicaiddoc. Once there, select the Member Eligibility & Benefits tab, then Pharmacy Benefits. Under Preferred Drug & Formulary Search, select one of the Preferred Drug List (PDL) introductions for the following information:

• Drug lists
• Prior authorization criteria
• Procedures for generic substitution
• Step therapy
• Exception requests (Use the forms located on the Pharmacy Benefits page.)
• Other management methods subject to prescribing decisions
• Other requirements, restrictions or limitations that apply to using certain drugs

 

Information about PDL changes is located under Provider Resources under the Communications & Updates section. For information about copayment/coinsurance requirements and their applicable drug classes, see the Indiana Medicaid Provider Manual listed under Manuals, Directories, Training & More.