MedicaidAdministrativeMedium impact
Formulary Now Updated with National Drug Codes (NDCs) Held due to Change Healthcare System Outage
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Sep 3, 2024
We identified it
Jun 20, 2026
Summary
Illinois Medicaid's pharmacy system has resolved a nationwide outage that prevented new drug codes from being added to the formulary. Pharmacies can now submit all fee-for-service claims that were held during the outage as the new NDCs have been added to the formulary.
Action Required
Immediately: Pharmacy staff should release all Illinois Medicaid fee-for-service claims that were held pending the Change Healthcare system outage. Review held claims queue and submit all previously delayed pharmacy claims. Contact 877-782-5565 with questions about specific NDCs or claims.