Drug Formulary

Note: Effective July 5, 2023, CareSource aligned with the Indiana Medicaid’s Statewide Uniform Preferred Drug List (SUPDL), the over-the-counter (OTC) drugs, supplements and contraception products. We maintain the same preferred and non-preferred drug status, clinical criteria requirements, and format for prior authorization submissions for products on the SUPDL.

The SUPDL and related criteria can be found on the Indiana Health Coverage Program (IHCP) Pharmacy Services page. Select “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: CareSource PA Forms are available on the Forms page under Pharmacy Prior Authorizations.

CareSource will continue to maintain and post a Preferred Drug List (PDL), which will include SUPDL preferred products, in addition to preferred products in categories outside of the SUPDL. You can also view over-the-counter (OTC) medications on our OTC PDL. For the most up-to-date information, access the online Formulary Search Tool under the “Online Drug Formulary” section below.

• HIP Plus & State Plan Plus (Navigate English | Navigate Spanish)
• HIP Basic, HIP State Plan Basic & Hoosier Healthwise Packages A and C (Navigate English | Navigate Spanish)
• OTC Drug, Supplements, and Contraception Formularies – CareSource follows the state’s OTC, supplements and contraception formularies. For the most updated coverage of these products, please follow the above link to the Indiana Health Coverage Program (IHCP) Pharmacy Services page. Select “OTC Drug, Supplements, and Contraception Formularies” from the “Preferred Products” drop-down menu.
• Navigate Preferred Diabetic Supply List

Online Drug Formulary

We offer an online Formulary Search Tool that can help you quickly look up medications for CareSource members. It’s easy! You can find out how a medication is managed by searching alphabetically, by brand and generic name, or by therapeutic class. This search tool includes products on and off of the SUPDL.

Drug coverage information for our formulary is also available on Fingertip Formulary, a medical application you can download to your mobile device. You can also determine drug coverage status on the MMIT Formulary, another application that can be downloaded onto your mobile device.

Drug Formulary Changes

There will be changes to our PDL. You can check the list of drug formulary changes to see if any of these changes affect the medications you prescribe.