TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER b: ASSISTANCE PROGRAMS
PART 119 ILLINOIS CARES RX PROGRAM
SECTION 119.70 PRIOR AUTHORIZATION AND PREFERRED DRUG LIST (PDL)
Section 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.
(Source: Amended at 30 Ill. Reg. 10274, effective May 26, 2006)