MedicaidCoverageMedium impact
Chapter P-200, Handbook for Providers of Pharmacy Services
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Sep 30, 2014
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has updated their Pharmacy Provider Handbook to clarify that contract pharmacies participating in the 340B Drug Pricing Program are carved out and prohibited from billing Medicaid for 340B drugs. This restriction emphasizes existing billing limitations for contract pharmacies under the 340B program.
Action Required
Immediately: Contract pharmacies must stop billing Illinois Medicaid for any 340B drugs. Billing staff should update system rules to prevent claims submission for 340B medications to Medicaid. Download updated Handbook page HFS P-202 (2) from the department website and replace existing page. Contact Bureau of Professional and Ancillary Services at 1-877-782-5565 with questions.