Drug Search

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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.

Other Links:

  • Full Preferred Drug List (PDL) available here
  • Clinical and administrative pharmacy policies
  • Covered OTC Products List
  • Machine Readable Formulary File

Drug Search Main Content

Alphabetical Search Skip to Brand & Generic Search
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  • D
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  • F
  • G
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  • I
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  • P
  • Q
  • R
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Therapeutic Class Search Skip to Footer

  • Antidote Therapeutics
  • Antihistamine Drugs
  • Anti-Infective Agents
  • Antineoplastic Agents
  • Antitoxins,Immune Glob,Toxoids,Vaccines
  • Autonomic Drugs
  • Blood Derivatives
  • Blood Formation, Coagulation, Thrombosis
  • Cardiovascular Drugs
  • Cellular And Gene Therapy
  • Central Nervous System Agents
  • Dental Agents
  • Devices
  • Diagnostic Agents
  • Electrolytic, Caloric, And Water Balance
  • Enzymes
  • Eye, Ear, Nose And Throat (Eent) Preps.
  • Gastrointestinal Drugs
  • Heavy Metal Antagonists
  • Hormones And Synthetic Substitutes
  • Immunomodulatory Agents (90:00)
  • Local Anesthetics
  • Miscellaneous Therapeutic Agents
  • Nonhormonal Contraceptives
  • Oxytocics
  • Pharmaceutical Aids
  • Respiratory Tract Agents
  • Skin And Mucous Membrane Agents
  • Smooth Muscle Relaxants
  • Vitamins
©1997-2025 Managed Markets Insight and Technology, LLC. All Rights Reserved Terms of Use
Formulary Id: Indiana Medicaid
Formulary Effective Date: 05/01/2025
Updated:
06/2025
CMS Approval Date:
05/01/2025
CMS Version:
12

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