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
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.