MedicaidCoverageMedium impact
Pharmacy – 90-Day Supply and Over-the-Counter Covered Products
Illinois Medicaid - HFS·IL · Pharmacy, Family Medicine, Internal Medicine +3 more·Provider Notice
Effective date
May 20, 2020
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has temporarily expanded coverage to allow 90-day supplies for maintenance medications across multiple drug classes (including ADHD, diabetes, cardiovascular, and psychiatric medications) and added coverage for select over-the-counter products like acetaminophen and ibuprofen during the COVID-19 emergency. This applies only to medications from manufacturers participating in the federal Medicaid Drug Rebate Program.
Action Required
Immediately: Billing team should verify Illinois Medicaid patients can receive 90-day supplies for maintenance medications in the specified drug classes and bill for covered OTC products (acetaminophen, ibuprofen, naproxen, guaifenesin, dextromethorphan). Ensure all medications are from manufacturers participating in the federal Medicaid Drug Rebate Program. Update pharmacy billing systems to reflect these temporary coverage expansions.