MedicaidPrior AuthMedium impact
Epinephrine Auto Injector Update to Preferred Drug List (PDL)
Illinois Medicaid - HFS·IL · Allergy & Immunology, Emergency Medicine, Family Medicine +3 more·Provider Notice
Effective date
Dec 15, 2016
We identified it
Jun 20, 2026
Summary
EpiPen and EpiPen Jr will move to non-preferred status requiring prior authorization, while generic epinephrine auto-injectors remain preferred without prior auth. Prior authorization will only be approved with medical justification for why generic cannot be used.
Action Required
By December 15, 2016: Prescribers must update participant prescriptions to generic epinephrine auto-injectors or submit prior authorization requests for EpiPen/EpiPen Jr with medical justification. Contact pharmacy consultant at 877-782-5565 for questions about prior authorization process.