Ill. Admin. Code tit. 89, § 119.70 - Prior Authorization and Preferred Drug List (PDL)

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.

Notes

Ill. Admin. Code tit. 89, § 119.70

Amended at 30 Ill. Reg. 10274, effective May 26, 2006