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Risk Based Managed Care (RBMC) Pharmacy Information

The following information is being provided to assist pharmacies with questions related to the MCO process.
  • Table 1 provides a listing of the pharmacy directors for each Hoosier Healthwise MCO. Pharmacies participating in the Hoosier Healthwise program should refer to Table 1 for assistance.

  • Table 2 contains links to the Preferred Drug List (PDL) Formulary information located on the Managed Care Organizations' Web sites.

  • Hoosier Healthwise Managed Care Organizations Contact Information is a compilation of pharmacy-related contacts. It focuses on billing assistance, claims, and PA-related matters for each of the Hoosier Healthwise MCOs.
Table 1 – Pharmacy Directors for Hoosier Healthwise MCOs

MCO Contact Phone Fax E-mail
Anthem
1099 N. Meridian St.
Suite 1000
Indianapolis, IN 46204
Jeannine Murray,
R.Ph
Pharmacy Program Manager
(317) 287-2630 (317) 287-2621 Jeannine.Murray@ anthem.com
Managed Health Services (MHS)
1099 N. Meridian St.,
Suite 400
Indianapolis, IN 46204
Katasha Butler,
RPh, PharmD
(317) 684-9478
Ext 20153
(317) 684-9280 kbutler@centene.com
MDwise
1099 N. Meridian St.,
Suite 320
Indianapolis, IN 46204
Chris Johnson,
Director of Pharmacy
(317)-822-7237 (317) 822-7550 cjohnson@ mdwise.org


Table 2 – Preferred Drug List (PDL) Information

MCO Type of Information Location
Anthem PDL Formulary https://pd.secure.anthem.com/prov-uni/
medical/SSBINHome.do
MHS MHS PDL Formulary https://www.managedhealthservices.com/portal/ wcm/resources/file/eb239a097d2ce15/ Managed_Health_Services_Preferred_Drug_List_06-2008.pdf"
MDwise PDL Formulary – Searchable PDL http://www.mdwise.org/providers/pharmacy/
PDL Formulary – Quick Reference http://www.mdwise.org/pdfs/PRO_RX_PDL.pdf


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