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Indiana Care Select Pharmacy Benefits
The pharmacy benefit for ADVANTAGE Care Select members includes those drug
products that are listed on:
» Indiana Health Coverage Programs' (IHCP) Preferred Drug List (PDL)
» Over-the-Counter (OTC) Drug Formulary
The PDL is not intended to show all drugs covered by the IHCP
Some drug classes are purposefully not shown on the PDL and most drugs in those
classes are covered by the IHCP and do not require prior authorization. Legend drug
products that are listed as non-preferred in the IHCP PDL require prior authorization.
The IHCP PDL and OTC Drug Formulary can be found on the IHCP website and also at www.indianapbm.com.
Questions Concerning the PDL or Prior Authorizations?
Pharmacists and prescribing providers should contact the ACS Clinical Call Center
with any questions concerning the PDL and prior authorizations at 1-866-879-0106.
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