405 IAC 5-24-5
405 IAC 5-24-5 Reimbursement for nonlegend drugs
Cite as Ind. Admin. Code tit. 405, r. 5-24-5
Sec. 5. (a) The office shall reimburse pharmacy providers for nonlegend (over-the-counter or OTC) drugs at the lower of the following:
(1) the state over-the-counter maximum allowable cost plus professional dispensing fee; or
(2) the provider's submitted charge, representing the provider's usual and customary charge for the drug, as of the date of
dispensing.
(b) Only those nonlegend drugs that are included on the OTC drug formulary are covered by Indiana health coverage programs (IHCP).