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IlliniCare Health is committed to providing appropriate, high-quality, and cost-effective drug therapy to all IlliniCare Health members. IlliniCare Health covers prescription medications and certain over-the-counter medications with a written order from an IlliniCare Health provider. The pharmacy program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.

Current Drug List  

Prior Authorization

Prior Authorizations may be submitted electronically via CoverMyMeds or by using the Online PA Form, or by faxing the Medication Prior Authorization Form (PDF) to 866-399-0929. 

Prior Auth Criteria Search

Please use the search function or select View All to locate the drug specific IlliniCare Health prior authorization form that should be used when submitting an authorization request.

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