407 Ind. Admin. Code 3-10-1

Current through December 4, 2024

Section 407 IAC 3-10-1 - 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).

407 IAC 3-10-1

Office of the Children's Health Insurance Program; 407 IAC 3-10-1; 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