Preferred Drug List

CareSource now uses Indiana Medicaid’s Statewide Uniform Preferred Drug List (SUPDL). The SUPDL and related criteria can be found on the IHCP Pharmacy Services page.

To get to the SUPDL:

• Go to: https://inm-providerportal.optum.com/providerportal/faces/PreLogin.jsp
• Click Preferred Products at the top of the page.
• Choose Preferred Drug List from the Preferred Products dropdown menu to launch the SUPDL.
• Prior authorization (PA) criteria links can be found with the associated Drug Class within this document.
• Note: PA Forms are on the Forms page under Pharmacy Prior Authorizations.

What is a Preferred Drug List?

• HIP Plus & State Plan Plus (Navigate English  | Spanish)
• HIP Basic, HIP State Plan Basic & Hoosier Healthwise Packages A and C (Navigate English  |  Spanish)
• Covered OTC Products List (Navigate English  |  Navigate Spanish)

The Preferred Drug List (PDL) is a list of the drugs that we like our providers to prescribe. There are two PDLs, depending on which plan you have.  We will still maintain and post a PDL. It will include SUPDL preferred products. It will also have preferred products in categories outside of the SUPDL. 

We cover all medically necessary Medicaid-covered drugs at many pharmacies. We also cover many commonly used Navigate over-the-counter (OTC) medications with a written prescription from your doctor. Some of the drugs we cover are generic. This means that they are not name brand, but they are comparable to the name brand drug and work in the same way. If you have questions about your medications, ask your CareSource pharmacist at 1-833-230-2073.

We will post any changes we make to the PDL to our website. This may happen from time to time. 

Find My Prescriptions

Do you want to look up your medicine and find out if we cover it? It’s easy when you use our Find My Prescriptions tool. This tool will help you learn how to find your medicine and has products both on and off the SUPDL.

Quantity Limits

Quantity limits means that some drugs have limits on how much you can get at one time. Quantity limits may be based on many factors such as:

• The drug makers’ recommended dosing
• Patient safety
• The Indiana Medicaid Drug Utilization Review (DUR) Board
• The Food & Drug Administration (FDA) recommendations