Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 119 - ILLINOIS CARES RX PROGRAM (REPEALED)
Section 119.70 - Prior Authorization and Preferred Drug List (PDL)
Universal Citation: 89 IL Admin Code ยง 119.70
Current through Register Vol. 48, No. 38, September 20, 2024
a) For Medicare-eligible individuals enrolled in a coordinating Medicare Part D PDP, the Department may enforce the PDP's Preferred Drug List by requiring tiered copays of $15 for each dispensing of a non-preferred drug.
b) For individuals not enrolled in Medicare, the Department may utilize a Preferred Drug List (PDL) enforced through the prior approval process and other utilization controls including, but not limited to, maximum quantity, daily dose and refill-too-soon.
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