Medicare Part D prescription drug copayment issue corrected

As described in Indiana Health Coverage Programs (IHCP) Banner Page BR201810, some Medicare Part D prescription drug copayments calculated incorrectly beginning January 1, 2018. As a result, certain IHCP members dually eligible for Medicaid and Medicare were asked to pay higher copayments for their prescriptions than should have been required. Affected members were sent notices making them aware of the situation.

The Medicare Part D copayment issue has been corrected. Medicare Part D Plans will work with pharmacy benefit managers (PBMs) and pharmacies to ensure claim adjustments are made so that pharmacies and members are reimbursed appropriately. Members have no obligation to initiate this process.