Pharmacy Benefits Information for Providers

MHS is committed to providing appropriate, high-quality, and cost-effective drug therapy to all MHS members. MHS works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered.

MHS covers prescription medications and certain over-the-counter (OTC) medications when ordered by an Indiana Medicaid enrolled MHS practitioner. The pharmacy program does not cover all medications. Some medications require prior authorization (PA) or have limitations on age, dosage, gender and maximum quantities. MHS encourages the use of electronic prescriptions or e-prescribing.

Electronic Prescriptions
E-prescribing is an important element in improving patient safety and quality of patient care. USScript contracted pharmacies can accept electronic prescriptions.