Ill. Admin. Code tit. 89, § 140.449 - Payment of Pharmacy Items

a) The Department shall pay no more for charges submitted than the maximum permitted by federal regulations.

b) Explanation of Drug Restrictions

1) Group Care Restricted - The drug is available to all recipient categories except individuals residing in a nursing home.

2) The nursing home must provide the following listed drugs to resident recipients at no charge to the recipient:

Acetaminophen Drops 80mg/0.8ml

Acetaminophen Drops 120mg/2.5ml

Acetaminophen Elixir/Syrup 120mg/5ml

Acetaminophen Tab/Cap 325mg

Acetaminophen Tab/Cap 500mg

Acetaminophen Tab/Cap 650mg

Acetaminophen Tablet Chewable 80mg

Acetaminophen Tablet Chewable 120mg

Aspirin Tab Buffered 325mg

Aspirin Tab Buffered 600mg

Aspirin Tab EC 300mg

Aspirin Tab EC 600mg

Aspirin Tab Pediatric

Aspirin Tab 300mg

Aspirin Tab 600mg

Glucola Liquid

Milk of Magnesia Liquid

Milk of Magnesia Tablet

Zinc Oxide Ointment

c) No restrictions - The drug is available to all recipient categories, including nursing home residents and recipients of basic health coverage.

d) Group Care Restricted - The drug is available to all recipients except recipients residing in nursing homes. The nursing home must provide the following listed items to resident recipients at no charge to the recipient:

Acetest Reagent Tablets

Albustix Strips

Chemstrip BG Strips

Chemstrip GP Chemstrip K Papers

Chemstrip Test Kit

Chemstrip UG Strips

Chemstrip UGK Strips

Chemstrip 5

Clinistix Strip

Clinitest (2 Drop)

Clinitest Analysis Set

Clinitest Analysis Set (2 Drop)

Clinitest Tablet

Clinitest Tablet Foil

Combistix

Dextrostix Reagent Strips

Dextrostix Reagent Strips Foil

Diascan Dual Pad Strips

Diastix Strips

Exactech Test Strips

Glucofilm Test Strips

Glucoscan Test Strips

Glucostix Strips

Hema-Combistix

Hemastix Strips

Hematest Tablet

Keto-Diastix

Keto-Diastix 5

Ketostix Strips

Labstix

Lancet for Diabetic Use, Sterile

N-Uristix

One Touch Test Strips

TES-Tape

Tracer BG Strips

Trendstrips

Uristix

Visidex II Reagent Strips

Any product equivalent to those on the above list or any other nonlisted diabetic testing supply

e) Group care limited - The drug is available only to recipients residing in nursing homes.

Notes

Ill. Admin. Code tit. 89, § 140.449

Amended at 37 Ill. Reg. 10282, effective June 27, 2013