Indiana § 27-13-38-8 - Application; definitions; denial of coverage to synchronize prohibited; coverage of synchronization
Full text of Indiana Indiana Code § 27-13-38-8 — Application; definitions; denial of coverage to synchronize prohibited; coverage of synchronization, with citation guidance and answers to common questions.
§ 27-13-38-8. Application; definitions; denial of coverage to synchronize prohibited; coverage of synchronization
Sec. 8. (a) This section does not apply to a mail order pharmacy or to specialty drugs.
(b) This section applies to an individual contract or a group contract that provides coverage for prescription medications.
(c) As used in this section, "synchronize" means to use a single pharmacy dispensing process as a means of coordinating the enrollee's medications at the same time when:
(1) a particular medication:
(A) is of a formulation that can be effectively split; and
(B) does not have quantity limits or dose optimization criteria as specified in the individual or group contract's formulary and prior authorization requirements;
(2) the enrollee is on a stabilized treatment plan for a chronic condition and the synchronization is for those drugs treating a chronic condition; and
(3) the medication is not:
(A) an opioid, stimulant, sedative, or hypnotic medication; or
(B) another medication that is addictive and subject to abuse.
(d) An individual contract or group contract that provides coverage for prescription drugs may not deny coverage for the refill of any drug prescribed for the treatment of a chronic illness that is made in accordance with a plan between the enrollee and a pharmacist to synchronize the refilling of multiple prescriptions for the enrollee.
(e) An individual contract or a group contract must provide coverage for a medication that is dispensed in a quantity that allows synchronization of the enrollee's medications in accordance with a plan made between the enrollee and the pharmacy to synchronize the enrollee's medications for chronic conditions.
As added by P.L.202-2017, SEC.21.
IC 27-13-39Chapter 39. Patient Protection; Experimental Treatments
27-13-39-1Procedures regarding experimental treatments 27-13-39-2Disclosure of coverage limitations 27-13-39-3Written explanation of denial of coverage of experimental treatment; review
Source: official Indiana text · Last verified 2026-08-27
Frequently Asked Questions About Indiana § 27-13-38-8
What does Indiana Code § 27-13-38-8 cover?
Section 27-13-38-8 ("Application; definitions; denial of coverage to synchronize prohibited; coverage of synchronization") is part of the Indiana Code, the codified statutory law of Indiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Indiana § 27-13-38-8?
A common citation format is "Indiana Code § 27-13-38-8" (Indiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Indiana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Indiana official source linked on this page or consult a licensed Indiana attorney.
How does Indiana § 27-13-38-8 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Indiana can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Indiana.