407 Ind. Admin. Code 3-10-3

Current through October 31, 2024

Section 407 IAC 3-10-3 - Copayments

Authority: IC 12-17.6-2-11

Affected: IC 12-17.6

Sec. 3.

(a) A three dollar ($3) copayment is required for generic, compound, and sole source drugs.

(b) A ten dollar ($10) copayment is required for brand name drugs.

(c) The copayment shall be paid by the member and collected by the provider. Reimbursement shall be adjusted to reflect the copayment amount for which the member is liable.

(d) A provider may deny services if the member does not pay the required copayment.

407 IAC 3-10-3

Office of the Children's Health Insurance Program; 407 IAC 3-10-3; filed May 3, 2000, 2:02 p.m.: 23 IR 2237; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA