Anthem Blue Cross Blue Shield Health Insurance

Indiana Hoosier Healthwise

PW_AD095238
SCHIP Pharmacy Information  
We can translate this at no cost. Call the customer service number on your member ID card. 
Podemos traducir esto gratuitamente. Llame al número de servicio de atención al cliente que aparece en su tarjeta de identificación (ID card). 
Notice About Pharmacy Benefits
Prescription Drug Benefits

Please visit www.indianamedicaid.com and see Pharmacy Services

Preferred Drug List (PDL) is located at

www.indianamedicaid.com and

www.indianapbm.com under Pharmacy Services

Some Drugs Need an OK from Anthem Blue Cross and Blue Shield (Anthem)
Click here to view the Member Handbook
Limits

Over-the-counter (OTC) drugs are limited to those on the OTC Drug Formulary. The OTC Drug Formulary is located at www.in.mslc.com/StateMacServices.aspx

Injections that must be given by your doctor (office-based injectables) are available through your medical benefits, not your pharmacy benefits.

If you are in the hospital, drugs the hospital staff gives you during your stay are covered through your medical benefits, not your pharmacy benefits

Questions? Call Toll-free

HP Enterprise Services at 1-800-457-4584

 
Last Update: 01/08/2010  
Version: 1  
 
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use