Ind. Code § 12-15-35.5-7.5
Reimbursement for methadone when prescribed for pain; requirements
Indiana · Indiana Code Title 12 — Human Services · Status: effective
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- Ind. Code § 12-15-35.5-7.5, Reimbursement for methadone when prescribed for pain; requirements, Indiana, version 1 as recorded 2026-09-28, yourstate.us, https://yourstate.us/provision/1628541
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Sec. 7.5.
(a) The office may reimburse under Medicaid for methadone if the drug was prescribed for the treatment of pain or pain management only as follows:
(1) If the daily dosage is not more than sixty (60) milligrams.
(2) If the daily dosage is more than sixty (60) milligrams, only if:
(A) prior authorization is obtained; and
(B) a determination of medical necessity has been shown by the provider.
(b) A managed care organization may reimburse under Medicaid for methadone if the drug is prescribed for the treatment of pain or pain management only as follows:
(1) If the daily dosage is not more than sixty (60) milligrams.
(2) If the daily dosage is more than sixty (60) milligrams, only if:
(A) prior authorization is obtained; and
(B) a determination of medical necessity has been shown.