Indiana § 27-8-5.8-4 Prescription drug information card

Indiana Statutes

§ 27-8-5.8-4 — Prescription drug information card

Indiana § 27-8-5.8-4

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 5.8Insurance Benefit Cards

This text of Indiana § 27-8-5.8-4 (Prescription drug information card) 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 § 27-8-5.8-4 (2026).

Text

(a)This section applies to an insurer that:

(1)issues an accident and sickness insurance policy that provides coverage for prescription drugs or devices; and

(2)issues a card or other technology for claims processing. This section also applies to a third party administrator for self-insured plans, a pharmacy benefit manager, or a health benefit plan administered by the state if the administrator, manager, or plan issues a card or other technology described in subdivision (2).

(b)The card or other technology issued by an insurer or another entity referred to in subsection (a) must contain uniform prescription drug information that complies with the requirements established under subsection (c).

(c)Prescription drug information cards or other technology must meet either of the following

Free access — add to your briefcase to read the full text and ask questions with AI

(a) This section applies to an insurer that:
(1) issues an accident and sickness insurance policy that provides
coverage for prescription drugs or devices; and
(2) issues a card or other technology for claims processing.
This section also applies to a third party administrator for self-insured
plans, a pharmacy benefit manager, or a health benefit plan
administered by the state if the administrator, manager, or plan issues
a card or other technology described in subdivision (2).
(b) The card or other technology issued by an insurer or another
entity referred to in subsection (a) must contain uniform prescription
drug information that complies with the requirements established under
subsection (c).
(c) Prescription drug information cards or other technology must
meet either of the following criteria:
(1) Be in a format and contain information fields approved by the
National Council for Prescription Drug Programs (NCPDP) as
contained in the National Council for Prescription Drug Programs
Pharmacy ID Card Implementation Guide in effect on the October
1 most immediately preceding the issuance of the card.
(2) Contain the following information:
(A) The health benefit plan's name.
(B) The insured's name, group number, and identification
number.
(C) A telephone number to inquire about pharmacy related
issues.
(D) The issuer's international identification number or ANSI
BIN number, labeled as RxBIN.
(E) The processor control number, labeled as RxPCN.
(F) The insured's pharmacy benefits group number if different
than the medical group number, labeled as RxGRP.
Only those fields listed in clauses (A) through (F) that are
required for proper adjudication of the claim must appear on the
card. If the card is used to adjudicate non-pharmacy claims, then
the designation "Rx" listed in clauses (D) through (F) is not
required to be used by the issuer.
(d) An insurer or an insurer's agents, contractors, or administrators,
including pharmacy benefits managers, may not be required to issue a
prescription drug information card or other technology to a person
more than one (1) time during a twelve (12) month period.
(e) The prescription drug information cards or other technology
issued under this section may be used for health insurance coverage
other than the coverage to which this chapter applies.