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
- Services while in an emergency room or nursing home
- Services while in a hospital
Hoosier Healthwise members who do pay a monthly premium
Your co-pays will be $3 for each generic drug and $10 for each
brand name drug.
HIP (Healthy Indiana Plan) and Presumptive Eligibility
If you are enrolled with HIP Basic, your co-pays will be $4 for
each generic drug and $8 for each brand name drug. If you'd
like to learn more about the Healthy Indiana Plan, you should go to
the Healthy Indiana Plan website.
If you are enrolled in the Adult category for Presumptive
Eligibility (PE), your co-pays will be $4 for each generic
drug and $8 for each brand name drug.
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