Section 405 IAC 13-9-3 - CopaymentsAuthority: IC 12-17.6-2-11
Affected: IC 12-17.6
Sec. 3.
(a) A three dollar ($3) copayment is required for generic, compound, and sole source drugs.(b) A ten dollar ($10) copayment is required for brand name drugs.(c) The copayment shall be paid by the member and collected by the provider. Reimbursement shall be adjusted to reflect the copayment amount for which the member is liable.(d) A provider may deny services if the member does not pay the required copayment. Office of the Secretary of Family and Social Services; 405 IAC 13-9-3; filed May 3, 2000, 2:02 p.m.: 23 IR 2237; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA; readopted filed 4/9/2018, 9:12 a.m.: 20180509-IR-405180110RFATransferred from the Office of the Children's Health Insurance Program ( 407 IAC 3-10-3) to the Office of the Secretary of Family and Social Services ( 405 IAC 13-9-3) by P.L. 35-2016, SECTION 53, effective March 21, 2016.