§ 12-15-5-8 — Maintenance drugs; prescriptions; Internet based pharmacies

(a) As used in this section, "maintenance drug"
means a medication that is dispensed under a single prescription for a
period of not less than one hundred eighty (180) days, excluding
authorized refills, for the ongoing treatment of a chronic medical
condition or disease or congenital condition or disorder.
(b) The office may designate:
(1) a mail order pharmacy;
(2) an Internet based pharmacy (as defined in IC 25-26-18-1);
(3) a pharmacy that agrees to sell a maintenance drug at the same
price as a mail order or an Internet based pharmacy; or
(4) all the pharmacies listed in subdivisions (1) through (3);
through which a recipient may obtain a maintenance drug.
(c) If the office makes a designation under subsection (b), a
managed care organization that has a contract with the office under IC 12-15-12 is not required to use a pharmacy that is designated under
subsection (b).
(d) If a Medicaid recipient's physician prescribes a maintenance
prescription drug, the Medicaid recipient may purchase the
maintenance prescription drug from a pharmacy that is designated
under subsection (b).
(e) The office shall apply to amend the state Medicaid plan if the
office determines that an amendment is necessary to carry out this
section.
(f) The office may require a recipient to pay the maximum
copayment allowable under federal law if the recipient obtains a
maintenance drug from a pharmacy other than a pharmacy described
in subsection (b).

Legislative History

As added by P.L.246-2005, SEC.105.