
Indiana Medicaid Formulary Reference Tool
Please use the search box below to look for the drug being requested. You can search by drug name or NDC. Formulary status and any applicable restrictions or notes will display when you select the drug from the search results.
Review all "view criteria" links to see drug criteria and limits.
**Effective July 1, 2025, all authorization are granted for a duration of one year for products and policies managed by CareSource. Approval durations outlines in our policies may vary.**
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