October 06, 2015
On May 5, 2015, Gov. Pence signed SB 464 into law, creating Public Law 209. This law places restrictions on coverage under a health insurance policy for methadone used in pain management. An Indiana group health plan may only provide coverage for methadone if the daily dosage is no more than 60 milligrams and is for the treatment of pain or pain management. The daily dosage may exceed 60 milligrams only if prior authorization is obtained and a determination of medical necessity has been shown by the provider. This requirement is effective for fully insured health plans delivered, issued for delivery or renewed in Indiana on or after July 1, 2015.
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