Indiana Code Title 12. Human Services § 12-15-47-2

(1) Be in the original, unopened package.

(2) Have been in the possession of the provider for at least twelve (12) weeks.  However, the requirement under this subdivision may be waived by the written consent of the original Medicaid recipient to whom the long acting reversible contraceptive was prescribed.

(3) Not have left the possession of the provider who originally prescribed the long acting reversible contraceptive.

(4) Be medically appropriate and not contraindicated for the Medicaid recipient to whom the long acting reversible contraceptive is being transferred.