MedicaidPrior AuthMedium impact
Handbook for Providers of Pharmacy Services – Availability on the Internet
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Jul 22, 2013
We identified it
Jun 20, 2026
Summary
Pharmacists can now submit Four Prescription Policy prior authorization requests directly through the MEDI system, in addition to prescribers. Pharmacists must conduct medication regimen reviews and document any inappropriate therapy communications with prescribers before submitting PA requests.
Action Required
Immediately: Billing team should coordinate with pharmacists who may now submit prior authorization requests through MEDI system for Four Prescription Policy. Verify PA status in MEDI system using assigned prior authorization numbers. Ensure pharmacists document medication regimen reviews and prescriber communications for inappropriate therapy cases.