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§ 12-15-35-5-7-5 — Indiana Law | CourtGPT
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  5. Article 15 - Medicaid/
  6. Chapter 35.5 - Prescription Drugs12-15-35.5-1. Applicability/
  7. § 12-15-35-5-7-5
Indiana Legal Code

§ 12-15-35-5-7-5

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(a) The office may reimburse under Medicaid for methadone if the drug was prescribed for the treatment of pain or pain management only 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.(b) A managed care organization may reimburse under Medicaid for methadone if the drug is prescribed for the treatment of pain or pain management only 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.As added by P.L.209-2015, SEC.12.