MedicaidReimbursementLow impact
Over-The-Counter Drug Co-payment Clarification
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Summary
The over-the-counter drug copayment for Medicaid patients has been reduced from $3.65 to $2.00 effective July 1, 2012. This change only affects Medicaid programs and does not impact non-Medicaid programs or patients who are exempt from copayments.
Action Required
No action required for billing teams. This is an informational notice about pharmacy copayments that are collected directly by pharmacies, not by medical practices. The change only affects what patients pay at pharmacies for over-the-counter medications under Medicaid programs.