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Drug Prior Approval Information
Some prescriptions and over-the-counter medicines require prior authorization for Medicaid reimbursement. Depending upon the drug, either the prescribing physician or the dispensing pharmacist may submit the request.
Drug Prior Approval requests may be submitted using the following methods:
NCPDP D.0 electronic format P4 Prior Approval Request Only Transaction (pdf)
Fax to the Drug Prior Approval Hotline at 217-524-7264 or 217-524-0404
Call the Drug Prior Approval hotline at 1-800-252-8942
Directly data enter into the Drug Prior Approval/Refill Too Soon Entry System through the department's Medical Electronic Data Interchange (MEDI) System
Check Drug Prior Approval request status using the following methods:
NCPDP D.0 electronic format P4 Prior Approval Request Only Transaction (pdf)
Call the department�s Prior Approval hotline at 1-800-252-8942.
Depending upon the drug, either the prescribing physician or the dispensing pharmacist may submit the request. Certain drugs require specific forms.