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344 chapters · 3,652 sections in this title.
Ind. Code § 27-1-37.4-1 "Covered individual"
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Sec. 1. As used in this chapter, "covered individual" means an individual who is entitled to coverage under a health plan. As added by P.L.45-2017, SEC.1.
Ind. Code § 27-1-37.4-2 "Health plan"
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Sec. 2. As used in this chapter, "health plan" means any of the following that provides coverage for prescription drugs: (1) A policy of accident and sickness insurance (as defined in IC 27-8-5-1). (2) A contract with a health maintenance organization (as defined in IC 27-13-1-19…
Ind. Code § 27-1-37.4-3 "Prior authorization"
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Sec. 3. As used in this chapter, "prior authorization" includes a health plan requirement that a prescription drug be authorized for payment by the health plan before the prescription drug is provided to a particular covered individual. As added by P.L.45-2017, SEC.1.
Ind. Code § 27-1-37.4-4 Electronic transmission of prior authorization request
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Sec. 4. A health plan shall accept and respond to a request for prior authorization delivered to the health plan by a covered individual's: (1) prescribing health care provider; or (2) dispensing pharmacist; through an electronic transmission that complies with the technical stan…