Announcement from IHCP bulletin

The Indiana Health Coverage Programs (IHCP) announces updates to the Preferred Drug List (PDL) and to the Pharmacy Supplements Formulary, as approved by the Drug Utilization Review (DUR) Board at its December 15, 2017, meeting. These changes apply to the fee-for-service (FFS) pharmacy benefit.

Changes to the PDL

Changes to the PDL were made at the December 15, 2017, DUR Board meeting. See Table 1 for a summary of PDL changes. Changes are effective for dates of service (DOS) on or after February 1, 2018, unless otherwise noted.

Table 1 – PDL changes effective for DOS on or after February 1, 2018

Changes to the Pharmacy Supplements Formulary

Changes to the Pharmacy Supplements Formulary were made at the December 15, 2017, DUR Board meeting. See Table 2 for a summary of Pharmacy Supplements Formulary changes. Changes are effective for DOS on or after February 1, 2018, unless otherwise noted.

Table 2 – Pharmacy Supplements Formulary effective for DOS on or after February 1, 2018

The PDL and Pharmacy Supplements Formulary can be found on the OptumRx website accessible via the Pharmacy Services quick link at indianamedicaid.com. Notices of the DUR Board meetings and agendas are posted on the FSSA website at in.gov/fssa. Click “FSSA Calendar” on the left side of the page to access the events calendar.

Please direct FFS prior authorization (PA) requests and questions about the FFS PDL or this bulletin to the OptumRx Clinical and Technical Help Desk by calling toll-free 1-855-577-6317. Questions regarding pharmacy benefits for members in the Healthy Indiana Plan (HIP), Hoosier Healthwise, and Hoosier Care Connect should be referred to the managed care entity with which the member is enrolled.

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