§ 12-15-35-28.7 — Submitting initial preferred drug list; limitations on restrictions; advance notice to providers; implementation; prior authorization limitation; rules

Indiana § 12-15-35-28.7

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 35: Drug Utilization Review

Text

7. (a) The board shall submit the initial
approved preferred drug list to the office not later than August 1, 2002.
(b) Except as permitted under subsection (g), the office may not
further restrict the status of a drug in the Medicaid program or the
children's health insurance program until the board reviews a
therapeutic classification and the office implements the therapeutic
classification on the preferred drug list.
(c) The office shall provide advance notice to providers of the
contents of the preferred drug list submitted by the board under
subsection (a).
(d) Notwithstanding IC 12-15-13-6, the office shall implement any
change in the preferred drug list not later than thirty (30) days after the
date the board submits the amended list to the office.
(e) Except as provided by section 28(g)(3) of this chapter, the office
may not implement a preferred drug list or an amendment to the
preferred drug list that has not been approved by the board.
(f) The office may not require prior authorization for a drug that is
excluded from the preferred drug list unless the board has made the
determinations required under section 35 of this chapter.
(g) The office may adopt rules under IC 4-22-2 necessary to carry
out this chapter.

Legislative History

As added by P.L.107-2002, SEC.19. Amended by P.L.184-2003, SEC.8.