Indiana § 27-13-7-20.4 Applicability; coverage for methadone for treatment of pain

Indiana Statutes

§ 27-13-7-20.4 — Applicability; coverage for methadone for treatment of pain

Indiana § 27-13-7-20.4

Title 27INSURANCE

Art. 13HEALTH MAINTENANCE ORGANIZATIONS

Ch. 7Requirements for Group Contracts, Individual Contracts,

This text of Indiana § 27-13-7-20.4 (Applicability; coverage for methadone for treatment of pain) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 27-13-7-20.4 (2026).

Text

4.

(a)This section applies to an individual contract or a group contract that is entered into, amended, or renewed after June 30, 2015.

(b)An individual contract or a group contract may provide coverage for methadone if the drug is prescribed for the treatment of pain or pain management only as follows:

(1)If the daily dosage is not more than sixty (60) milligrams.

(2)If the daily dosage is more than sixty (60) milligrams, only if:

(A)prior authorization is obtained; and

(B)a determination of medical necessity has been shown by the provider.

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4. (a) This section applies to an individual
contract or a group contract that is entered into, amended, or renewed
after June 30, 2015.
(b) An individual contract or a group contract may provide coverage
for methadone if the drug is prescribed for the treatment of pain or pain
management only as follows:
(1) If the daily dosage is not more than sixty (60) milligrams.
(2) If the daily dosage is more than sixty (60) milligrams, only if:
(A) prior authorization is obtained; and
(B) a determination of medical necessity has been shown by the
provider.