Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 13 - BENEFITS AND MEDICAL POLICY
Rule 9 - Pharmacy Services
Section 9-3 - Copayments

Universal Citation: 405 IN Admin Code 9-3

Current through March 20, 2024

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.

Transferred from the Office of the Children's Health Insurance Program ( 407 IAC 3-10-3 ) to the Office of the Secretary of Family and Social Services ( 405 IAC 13-9-3 ) by P.L. 35-2016, SECTION 53, effective March 21, 2016.

Disclaimer: These regulations may not be the most recent version. Indiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.