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  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
Elizabeth M. Whitehorn, Director

Illinois Medical Assistance - Supplemental Rebate Offer Form

To request the Illinois Medical Assurance Supplemental Rebate Offer Form to be sent to you to be completed, please submit an e-mail to request Pharmacy Rebate Offer Form or download the Illinois Medical Assistance Supplemental Rebate Offer Form below.

You may register to receive E-mail notification, when a new Preferred Drug List is posted to the Web site, by completing the form for Preferred Drug List E-mail Notification Request.

Inquiries regarding the PDL should be sent via e-mail to Pharmacy.