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Bruce Rauner, Govenor
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Label Name Generic Name BrandGeneric 
DICLOFENAC SODIUM 1% GEL DICLOFENAC SODIUM PA RequiredPA Required
VOLTAREN 1% GEL DICLOFENAC SODIUM PA RequiredPA Required
DICLOFENAC 1.5% TOPICAL SOLN DICLOFENAC SODIUM PA RequiredPA Required
KLOFENSAID II 1.5% TOPICAL SOL DICLOFENAC SODIUM PA RequiredPA Required
PENNSAID 2% PUMP DICLOFENAC SODIUM PA RequiredNot Available
VOPAC MDS 1.5% SPRAY KIT DICLOFENAC SODIUM PA RequiredNot Available
DICLOFENAC SODIUM 3% GEL DICLOFENAC SODIUM PA RequiredPA Required
SOLARAZE 3% GEL DICLOFENAC SODIUM PA RequiredPA Required
DICLOFENAC 0.1% EYE DROPS DICLOFENAC SODIUM PA RequiredNo PA Required
DICLOFENAC SOD DR 25 MG TAB DICLOFENAC SODIUM PA RequiredNo PA Required
DICLOFENAC SOD EC 25 MG TAB DICLOFENAC SODIUM PA RequiredNo PA Required
DICLOFENAC SOD DR 50 MG TAB DICLOFENAC SODIUM PA RequiredNo PA Required
DICLOFENAC SOD EC 50 MG TAB DICLOFENAC SODIUM PA RequiredNo PA Required
DICLOFENAC SOD DR 75 MG TAB DICLOFENAC SODIUM PA RequiredNo PA Required
DICLOFENAC SOD EC 75 MG TAB DICLOFENAC SODIUM PA RequiredNo PA Required
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*This site is designed to provide information regarding Medicaid covered drugs. The search function contains prescription drugs covered by Medicaid, including those that require prior authorization. This information is current as of Thursday, January 12, 2017. For additional information please call 1-800-252-8942.

It is important to note that individual client eligibility may limit coverage for some drug categories.

Please Note: This site should be used for reference only; it is not to be used to verify payment of a particular product by Illinois Department of Healthcare and Family Services. It is intended as an education and information resource.
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