Healthy Indiana Plan Basic Formulary
The medications included in the Anthem, Inc. formulary
are reviewed and approved by the Anthem Pharmacy and Therapeutics Committee,
which includes Practitioners and Pharmacists from the Anthem Provider community.
Please select a drug from the list below to see all coverage
details regarding the medication. Some medications listed may have additional
requirements or limitations of coverage. These requirements and limits may
include prior authorization, quantity limits, age limits or step therapy.
not listed on the formulary are considered to be non-formulary and are subject
to prior authorization.
Additionally, if a medication is available as a
generic formulation, this will be Anthem's preferred agent, unless otherwise
noted. If you have any questions about coverage of a certain product, please
contact us at 800-473-0694.
Machine Readable Data for Prescription Drug
Formulary: Healthy Indiana Plan Basic Medicaid Machine Readable File