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Indiana Administrative Code (Last Updated: December 20, 2016) |
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Title 405. OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES |
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Article 405IAC13. BENEFITS AND MEDICAL POLICY |
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Rule 405IAC13-9. Pharmacy Services |
Section 405IAC13-9-1. Nonlegend drugs
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(a) A nonlegend drug, with the exception of nonlegend insulin, is covered to the extent such drug is:
(1) included on the Indiana Medicaid nonlegend drug formulary;
(2) included on the Indiana Medicaid preferred drug list; and
(3) not specifically excluded from coverage.
(b) Nonlegend insulin is covered to the extent it is subject to the terms of a rebate agreement between the drug's manufacturer and the Centers for Medicare and Medicaid Services (CMS). (Office of the Secretary of Family and Social Services; 405 IAC 13-9-1; filed May 3, 2000, 2:02 p.m.: 23 IR 2237; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; filed Jun 1, 2011, 2:28 p.m.: 20110629-IR-407100420FRA; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA) NOTE: Transferred from the Office of the Children's Health Insurance Program (407 IAC 3-10-1) to the Office of the Secretary of Family and Social Services (405 IAC 13-9-1) by P.L.35-2016, SECTION 53, effective March 21, 2016.