When you need drugs or over-the-counter (OTC) items, your doctor will write you a prescription. Your doctor will then contact your pharmacy or you can take the prescription to your pharmacy to receive your drug(s). You must use a pharmacy that takes Indiana Medicaid; this can include mail order pharmacies.

Find an Indiana Medicaid Pharmacy
Click on “Provider Services” and then choose “Provider Search.” Or, contact Indiana Medicaid at 1-800-457-4581

Always present your Hoosier Healthwise card or Healthy Indiana Plan identification card to your pharmacy provider. Do not wait until you are out of a drug to request a refill. Please call your doctor or pharmacy a few days prior to being out of your drug.

Covered Services

• Prescription drugs and OTC items approved by the U.S. Food and Drug Administration (FDA). Not every OTC item is covered, only those listed on the OTC Drug Formulary are covered.
• Self-injectable drugs (including insulin)
• Drugs to help you quit smoking
• Note: You will be able to also get needles, syringes, blood glucose monitors, test strips, lancets, and glucose urine testing strips at your pharmacy.

Non-covered Services

• Drugs that do not have an FDA approval
• Experimental or investigational drugs
• Drugs to help you get pregnant
• Drugs used for weight loss
• Cosmetic or hair-growth drugs
• Drugs used to treat erectile problems
• Drugs not on the OTC Drug Formulary

Preferred Drug List (PDL)
Indiana Medicaid PDL (listed under “Pharmacy Services”)

Your pharmacy benefit has a Preferred Drug List (PDL). The PDL shows some of the drugs covered under the pharmacy benefit. A team of doctors and pharmacists update this list four times a year. Updating this list ensures that the drugs are safe and useful for you, and cost effective for the Indiana Medicaid program.

Generic Drugs
Your pharmacist will give you generic drugs when your doctor has approved them. Generic drugs are as good as brand name drugs and are less costly to the Indiana Medicaid program. Generic substitutions under the Medicaid program are the first option when they are available. If generic drugs are not available, brand name drugs may be dispensed. Brand name drugs may also be dispensed, even if generic drugs are available, if Indiana Medicaid determines the brand name drugs are less costly to the Indiana Medicaid program. Generic and preferred drugs must be used when available for your medical condition unless your physician provides a medical reason that you must use a different drug.

Over-the-Counter (OTC) Drug Formulary
OTC Drug Formulary
Some OTC drugs are covered by Indiana Medicaid. You can view the OTC Drug Formulary at the link above, or call 1-800-457-4581.