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Reminder of Pharmacy Signature Requirements Resumption
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
May 12, 2023
We identified it
Jun 20, 2026
Summary
Pharmacy signature log requirements have resumed effective May 12, 2023, after being temporarily suspended during COVID-19. Pharmacies must maintain signature logs that can be reproduced and provided upon audit request, with potential recoupments for missing or unavailable signatures.
Action Required
Immediately: All enrolled pharmacies must resume maintaining signature logs for all prescriptions filled. Ensure signatures are reproducible and can be provided within 24-48 hours upon audit request. Train pharmacy staff on proper signature collection and storage procedures. Implement backup systems to prevent signature loss. Claims may face recoupment if signatures cannot be provided during audits.