405 Ind. Admin. Code 13-9-1

Current through October 31, 2024

Section 405 IAC 13-9-1 - Nonlegend drugs

Authority: IC 12-17.6-2-11

Affected: IC 12-17.6

Sec. 1.

(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).

405 IAC 13-9-1

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; readopted filed 4/9/2018, 9:12 a.m.: 20180509-IR-405180110RFA

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.