Effective June 1, 2018, the Indiana Health Coverage Programs (IHCP) will cover pharmacy-only transports for IHCP members served through the fee-for-service (FFS) delivery system, subject to limitations established for certain benefit packages. Pharmacy-only transports are allowed when transport is the only option available to obtain prescriptions. This coverage change applies to FFS members for dates of service (DOS) on or after June 1, 2018. Pharmacy-only transports are counted toward a member’s transportation benefit limit of 20 one-way trips per rolling 12-month period. Prior authorization (PA) is required when a member exceeds his or her benefit limitation. Prescribers and providers are encouraged to help minimize the need for members to make pharmacy-only trips to obtain prescriptions in the following ways: Prescribe maintenance drugs with 100 days’ supply Encourage members to fill prescriptions at the outpatient pharmacy of the medical facility or office location of t
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