Member Eligibility & Benefits

Pharmacy Information

Anthem Blue Cross and Blue Shield will administer pharmacy benefits for members enrolled in Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect. Express Scripts, Inc. (ESI) is the pharmacy benefits manager. Please refer to the preferred drug list (PDL) when prescribing for these members.

Specialty Drug List
Benefit Exclusions

Benefit exclusions are services not covered under the pharmacy benefit, which include medications:

  • To treat infertility
  • To treat erectile dysfunction
  • For cosmetic reasons (Anti-wrinkle, hair removal, hair growth)
  • Not approved by the FDA
  • That can be bought over-the-counter (unless specified on formulary or PDL)

Page Last Updated: 11/08/17

To get pharmacy prior authorizations:

Log In to Availity

or

You can also request prior authorization by calling:

  • 1-866-408-6132 (Hoosier Healthwise)
  • 1-844-533-1995 (Healthy Indiana Plan)
  • 1-844-284-1798 (Hoosier Care Connect)

Fax

  • 1-844-864-7860 (Retail)
  • 1-888-209-7838 (MI)

To find an in-network pharmacy,

go to www.express-scripts.com/inpharmacysearch.