Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingSeptember 28, 2018
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.
PUBLICATIONS: October 2018 Anthem Indiana Provider Newsletter
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