Indiana Code 5-10-8-14.9. Coverage of methadone
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Sec. 14.9. (a) This section applies to an employee health plan that is established, entered into, amended, or renewed after June 30, 2015.
(1) A self-insurance program established under section 7(b) of this chapter to provide group health coverage.
(b) As used in this section, “state employee health plan” means one (1) of the following:
Terms Used In Indiana Code 5-10-8-14.9
- Contract: A legal written agreement that becomes binding when signed.
(2) A contract with a prepaid health care delivery plan that is entered into or renewed under section 7(c) of this chapter.
(c) A state employee health plan may provide coverage for methadone if the drug is prescribed for the treatment of pain or pain management as follows:
(1) If the daily dosage is not more than sixty (60) milligrams.
(2) If the daily dosage is more than sixty (60) milligrams, only if:
(A) prior authorization is obtained; and
(B) a determination of medical necessity has been shown by the provider.
As added by P.L.209-2015, SEC.1. Amended by P.L.149-2016, SEC.18.