{"data":{"id":"us-in/ic-27-13-7-20.4","jurisdiction":"us-in","citation":"IC 27-13-7-20.4","heading":"Applicability; coverage for methadone for treatment of pain","body":"Sec. 20.4. (a) This section applies to an individual contract or a group contract that is entered into, amended, or renewed after June 30, 2015.\n(b) An individual contract or a group contract may provide coverage for methadone if the drug is prescribed for the treatment of pain or pain management only as follows:\n(1) If the daily dosage is not more than sixty (60) milligrams.\n(2) If the daily dosage is more than sixty (60) milligrams, only if:\n(A) prior authorization is obtained; and\n(B) a determination of medical necessity has been shown by the provider.","path":["TITLE 27. INSURANCE","ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS","Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-13-7-20.4","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"1abd9dc20adfc7d1436e1ad521e4574d6e3132ab578f74773be142cb2f0609da","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-7-20.2","next":"us-in/ic-27-13-7-21"},"notice":"GroundRules: Original legal text. Not legal advice."}