Illinois Medicaid Four Prescription Limit Approvable Medications List

September 4, 2012
Illinois Medicaid implemented a four-prescription limit to encourage providers review their patients’ maintenance medications and, where possible and clinically appropriate, reduce duplication, unnecessary medications, and polypharmacy. The department will allow clients to exceed four prescriptions per month in certain situations, with prior approval. If the drug is not on the approvable drug list, the drug will not be allowed as an exception to the four-prescription limit. This list is independent of the Preferred Drug List (PDL) and other criteria.
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