# Ind. Code § 12-15-5-5: Office may provide drug coverage; requirements for drug coverage in managed care

> Indiana · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-5

## Section

- **Citation:** Ind. Code § 12-15-5-5
- **Heading:** Office may provide drug coverage; requirements for drug coverage in managed care
- **Jurisdiction:** Indiana
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Indiana Code / Title 12 / Article 15 / Chapter 5 / Section 12-15-5-5

## Text

Sec. 5. (a) The office may provide a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program.

(b) If the office provides a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program:

(1) the office shall develop a procedure and provide the recipient's risk based managed care provider with information concerning the recipient's prescription drug utilization for the risk based managed care provider's case management program; and

(2) the provisions of IC 12-15-35.5 apply.

(c) If the office does not provide a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program, a managed care organization shall provide coverage and reimbursement for outpatient single source legend drugs subject to IC 12-15-35-46, IC 12-15-35-47, and IC 12-15-35.5.

As added by P.L.231-1999, SEC.1. Amended by P.L.101-2005, SEC.1; P.L.152-2017, SEC.5.

## Nearby sections

- [Ind. Code § 12-15-5-1 Services and supplies provided; exceptions](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-1.md)
- [Ind. Code § 12-15-5-2 Necessity of federal financial participation](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-2.md)
- [Ind. Code § 12-15-5-3 Repealed](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-3.md)
- [Ind. Code § 12-15-5-5 Office may provide drug coverage; requirements for drug coverage in managed care](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-5.md)
- [Ind. Code § 12-15-5-6 Repealed](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-6.md)
- [Ind. Code § 12-15-5-7 Reimbursement for doula services; rules](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-7.md)
- [Ind. Code § 12-15-5-8 Maintenance drugs; prescriptions; Internet based pharmacies](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-8.md)
- [Ind. Code § 12-15-5-9 Provision of self-directed care options](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-9.md)
- [Ind. Code § 12-15-5-9.2 Coverage for care related to cancer clinical trials](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-9.2.md)
- [Ind. Code § 12-15-5-10 Care available for individuals receiving Medicaid waiver services; eligibility not affected by receipt of services](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-10.md)
- [Ind. Code § 12-15-5-11 "Telehealth services"; reimbursement; prohibition on distance restrictions and location requirements; waiver of confidentiality; community mental health centers; rules](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-11.md)
- [Ind. Code § 12-15-5-12 "Child"; reimbursement for specialized or nonstandard wheelchairs; prior authorization](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-12.md)
- [Ind. Code § 12-15-5-13 Coverage for treatment of opioid or alcohol dependence; office requirements; report use of medications to committee](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-13.md)
- [Ind. Code § 12-15-5-13.5 Expired](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-13.5.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C5_S12-15-5-5. Check the current official text before relying on it. Not legal advice.