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Pharmacy Services

When rendering services, Indiana Health Coverage Programs (IHCP) providers must be aware of the IHCP program in which an IHCP member is enrolled. For members enrolled in the Healthy Indiana Plan (HIP), Hoosier Care Connect, Hoosier Healthwise or Indiana PathWays for Aging (PathWays) managed care programs, it is also important to identify the managed care entity (MCE) with which the member is enrolled.

Pharmacy Benefit Management

See the sections below for information about Indiana Medicaid pharmacy benefit managers, including bank identification number (BIN), process control number (PCN), and phone number. Links to the applicable websites are also included for additional details, such as Preferred Drug Lists (PDLs) and drug prior authorization (PA) criteria.

Fee-for-Service Programs

Optum Rx is the pharmacy benefit manager for members enrolled in a fee-for-service (FFS) program.

Optum Rx Claim Information
BIN 001553
PCN INM
Phone 855-577-6317

Managed Care Programs

Select the link associated with the MCE (health plan) in which the member is enrolled to go to the applicable pharmacy benefit manager's website for additional information.

*Note: MDwise participation in the IHCP ended Dec. 31, 2025. Providers may submit MDwise/MedImpact pharmacy claims with dates of service prior to January 1, 2026, for reimbursement consideration. However, beginning April 1, 2026, these claims must be submitted using the paper claim form only. The claims should be submitted directly to MDwise via fax at 844-759-8548 or by secure email to pharmacy@mdwise.org. This claim-submission option is available, subject to timely filing limits, through June 30, 2026.

MCE Claim Information
 CareSourceHumanaMHSAnthemUnitedHealthcare
BIN 003858 610649 003858 020107 610494
PCN MA 03191506 MA IN 4841
Group RXINN01 28968 2EKA WKXA ACUIN
Phone – HIP 800-440-0474 N/A 833-750-4430 844-916-3652 N/A
Phone – Hoosier Care Connect N/A N/A 833-750-4441 844-916-3653 866-215-5046
Phone – Hoosier Healthwise 800-416-3632 N/A 833-750-4445 844-916-3654 N/A
Phone – PathWays N/A 866-274-5888 N/A 844-691-2487 800-832-4643

Statewide Program Support

Optum Rx provides support for statewide pharmacy policy development, including pharmacy boards and committees, as well as the management of the drug rebate program. For more information, see the Optum Rx Indiana Medicaid website.

Opioid Therapy Management Resources

The Indiana Family and Social Services Administration (FSSA) is making resources for the management of opioid therapy easily available to the provider community. Select the links below for access to these resources:

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