MedicaidPrior AuthMedium impact
BT202314: Pharmacy updates approved by Drug Utilization Review Board February 2023
Indiana Medicaid (IHCP)·IN · Psychiatry, Neurology, Pulmonology +4 more·Prior Authorization
Effective date
Apr 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid has updated prior authorization criteria for multiple drug classes, modified age restrictions for mental health medications, and changed preferred drug list status for numerous medications. These changes affect pharmacy benefits for fee-for-service Indiana Medicaid members only.
Action Required
Before April 1, 2023: Review patient medication lists for Indiana Medicaid fee-for-service members. Update prior authorization processes for Antimigraine Agents, Antipsychotic Agents, Multiple Sclerosis Agents, Pulmonary Antihypertensives, and Respiratory/Allergy Biologics. Verify new age restrictions for mental health medications and check PDL status changes that may require step therapy or prior authorization. Access updated criteria at Optum Rx Indiana Medicaid website.