Drug Co-Payments
Traditional Medicaid* and Hoosier Healthwise members
who do not pay a monthly premium (Package A):
You may have to pay $3 for each of your drugs. This amount
is called a co-pay. There are times in which you do
not have a co-pay such as:
- Services for members under the age of 18
- Services related to a pregnancy
- Services related to family planning (birth control and
preventive supplies)
- Services while in an emergency room or nursing home
- Services while in a hospital
*This includes members on
Care Select
Hoosier Healthwise members who do pay a monthly premium
(Package C):
Your co-pays will be $3 for each generic drug and $10 for each
brand name drug.
HIP (Healthy Indiana Plan) and Presumtive Eligibility
members:
You will not have a co-pay for
your medications.
Emergency Supply:
Any medication dispensed as an Emergency Supply will
not have a co-pay regardless of which
Medicaid package you are enrolled in.
Days Supply on Prescriptions
Drugs you take for a long time (often called maintenance drugs)
have a 100 days supply limit, while drugs you take for a shorter
time (non-maintenance drugs) have a 34 days supply limit.
Maintenance drugs are taken for illnesses such as asthma, diabetes,
and high blood pressure. Non-maintenance drugs are generally
taken for short term illness such as a cold, influenza or an
infection.
Co-Pays effective December 31, 2009