Pharmacy Pill bottles

Pharmacy Services

Several vendors work together to administer pharmacy benefits on behalf of the Indiana Health Coverage Programs (IHCP).

Pharmacy Benefit Management

The IHCP Pharmacy Benefits Manger is Xerox State Healthcare LLC. Xerox State Healthcare is responsible for the Preferred Drug List, Supplemental Rebates, pharmacy prior authorization (PA), and automated pharmacy PA/SmartPA.

If PA cannot be immediately obtained, a pharmacist may dispense and be reimbursed for an emergency supply.

Claims Processing

Claims processing is provided by HP Enterprise Services.

Email the HP Pharmacy Team.

Centers for Medicare & Medicaid Services (CMS)

Key business lines for the Centers for Medicare & Medicaid Services (CMS) are the following:

  • Medicare health plans
  • Medicare financial management
  • Medicare fee-for-service operations
  • Medicaid and children's health survey, certification, and quality improvement

Providers should periodically review the CMS section of this website for inclusive memoranda of notes and instructions sent to the State Medicaid directors concerning the Medicaid drug rebate program and product coverage.

Pharmacy Auditing