405 IAC 13-9-3
405 IAC 13-9-3 Copayments
Cite as Ind. Admin. Code tit. 405, r. 13-9-3
Sec. 3. (a) A three dollar ($3) copayment is required for generic, compound, and sole source drugs.
(b) A ten dollar ($10) copayment is required for brand name drugs.
(c) The copayment shall be paid by the member and collected by the provider. Reimbursement shall be adjusted to reflect the copayment
amount for which the member is liable.
(d) A provider may deny services if the member does not pay the required copayment.