MedicaidPrior AuthLow impact
BT202189: Pharmacy updates approved by Drug Utilization Review Board September 2021
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, General Practice +1 more·Prior Authorization
Effective date
Nov 1, 2021
We identified it
Jun 19, 2026
Summary
Indiana Medicaid has implemented a new quantity limit for Ivermectin 3 mg tablets, restricting coverage to 20 tablets per 90 days for fee-for-service pharmacy benefits. This limit was approved by the Drug Utilization Review Board and affects prior authorization requirements for this medication.
Action Required
By November 1, 2021: Billing and pharmacy teams must update systems to reflect the new Ivermectin 3 mg tablet quantity limit of 20 tablets per 90 days for Indiana Medicaid fee-for-service patients. Verify OptumRx Indiana Medicaid website for current quantity limits before prescribing. Exceeding this limit will require prior authorization through OptumRx Clinical and Technical Help Desk at 855-577-6317.