MedicaidPrior AuthMedium impact
BT202270: IHCP announces intent to implement Statewide Uniform PDL for all Medicaid pharmacy plans
Indiana Medicaid (IHCP)·IN·Pharmacy
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid will implement a Statewide Uniform Preferred Drug List (SUPDL) effective July 1, 2023, aligning all managed care plans with the fee-for-service PDL. This will standardize drug coverage, prior authorization criteria, and formats across all Indiana Medicaid pharmacy plans.
Action Required
Before July 1, 2023: Billing team must update prior authorization processes to align with the unified Indiana Medicaid PDL format and criteria. Review current Medicaid managed care prior authorizations and standardize with fee-for-service requirements using OptumRx criteria. Contact OptumRx Clinical and Technical Help Desk at 855-577-6317 for specific PA format requirements. Providers should prepare to submit new PA requests for members continuing nonpreferred drugs beyond the 90-day transition period.