Title 12, TITLE 12. HUMAN SERVICES
337 chapters · 3,371 sections in this title.
Ind. Code § 12-15-35-47 Review of changes to formulary
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Sec. 47. (a) This section applies to the following changes to a formulary used by a managed care organization for Medicaid recipients: (1) Removing one (1) or more drugs from the formulary. (2) Placing new restrictions on one (1) or more drugs on the formulary. (b) Before a manag…
Ind. Code § 12-15-35-48 Board review of managed care organization prescription drug
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program Sec. 48. (a) The board shall review the prescription drug program of a managed care organization that participates in a risk based managed care program at least one (1) time per year. The board's review of a prescription drug program must include the following: (1) An ana…
Ind. Code § 12-15-35-49 Information provided by office
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Sec. 49. (a) The office shall provide the board with information necessary for the board to carry out its duties under this chapter. (b) The office shall provide the information required under subsection (a): (1) when requested by the board; and (2) in a timely manner. As added b…
Ind. Code § 12-15-35-5 "Criteria" defined
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Sec. 5. As used in this chapter, "criteria" means the predetermined and explicitly accepted elements that are used to measure drug use on an ongoing basis to determine if the use is appropriate, medically necessary, and not likely to result in adverse medical outcomes. As added b…
Ind. Code § 12-15-35-50 Maximum allowable cost schedule for drugs; pharmacy
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participation in Medicaid program Sec. 50. (a) IC 12-15-13-6 does not apply to this section. (b) The office shall maintain an Internet web site and post on the web site any changes concerning the office's maximum allowable cost schedule for drugs. (c) A change in the office's max…
Ind. Code § 12-15-35-51 Advisory committee; duties; report
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Sec. 51. (a) As used in this section, "advisory committee" refers to the mental health Medicaid quality advisory committee established by subsection (b). (b) The mental health Medicaid quality advisory committee is established. The advisory committee consists of the following mem…
Ind. Code § 12-15-35-6 "Drug-disease contraindication" defined
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Sec. 6. As used in this chapter, "drug-disease contraindication" means an occurrence in which the therapeutic effect of a drug is adversely altered by the presence of another disease condition. As added by P.L.75-1992, SEC.19.
Ind. Code § 12-15-35-7 "Drug-drug interaction" defined
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Sec. 7. As used in this chapter, "drug-drug interaction" means an occurrence in which at least two (2) drugs taken by a recipient leads to clinically significant toxicity that: (1) is characteristic of one (1) or any of the drugs present; or (2) leads to the interference with the…
Ind. Code § 12-15-35-8 "Drug utilization review" or "DUR" defined
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Sec. 8. As used in this chapter, "drug utilization review" or "DUR" means the program designed to measure and assess on a retrospective and a prospective basis the proper use of outpatient drugs in the Medicaid program. As added by P.L.75-1992, SEC.19.
Ind. Code § 12-15-35-9 "Intervention" defined
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Sec. 9. As used in this chapter, "intervention" means an action taken by the board with a prescriber or pharmacist to inform about or to influence prescribing or dispensing practices or utilization of drugs. As added by P.L.75-1992, SEC.19.