405 IAC 5-24-3
405 IAC 5-24-3 Coverage of legend drugs
Cite as Ind. Admin. Code tit. 405, r. 5-24-3
Sec. 3. (a) A legend drug is covered by Medicaid if the drug is:
(1) approved by the United States Food and Drug Administration;
(2) not designated by the Centers for Medicare and medicaid Services (CMS) as less than effective, or identical, related, or similar
to a less than effective drug;
(3) subject to the terms of a rebate agreement between the drug's manufacturer and CMS; and
(4) not specifically excluded from coverage by Medicaid.
(b) The following are not covered by Medicaid:
(1) Anorectics or any agent used to promote weight loss.
(2) Topical minoxidil preparations.
(3) Fertility enhancement drugs.
(4) Drugs when prescribed solely or primarily for cosmetic purposes.