MedicaidCoverageMedium impact
Maximum Quantity Limits for Fentanyl Patches
Illinois Medicaid - HFS·IL · Pain Management, Oncology, Palliative Care +1 more·Provider Notice
Effective date
Mar 23, 2005
We identified it
Jun 21, 2026
Summary
Illinois Medicaid is implementing maximum quantity limits for fentanyl patches, restricting coverage to 15 patches per month. Providers must submit written medical justification to request quantities exceeding this limit.
Action Required
By March 23, 2005: Providers prescribing fentanyl patches must ensure prescriptions do not exceed 15 patches per month. For patients requiring higher quantities, physicians must submit written medical justification by fax to 217-524-7264 or 217-524-0404. Update prescribing protocols and staff training on quantity limits.