| Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
|---|---|---|---|---|
| TRULICITY INJ 0.75/0.5 | Dulaglutide Soln Pen-injector 0.75 MG/0.5ML | Preferred | Preferred Preferred, needs PA | Brand |
| TRULICITY INJ 1.5/0.5 | Dulaglutide Soln Pen-injector 1.5 MG/0.5ML | Preferred | Preferred Preferred, needs PA | Brand |
| TRULICITY INJ 3/0.5 | Dulaglutide Soln Pen-injector 3 MG/0.5ML | Preferred | Preferred Preferred, needs PA | Brand |
| TRULICITY INJ 4.5/0.5 | Dulaglutide Soln Pen-injector 4.5 MG/0.5ML | Preferred | Preferred Preferred, needs PA | Brand |
| VICTOZA INJ 18MG/3ML | Liraglutide Soln Pen-injector 18 MG/3ML (6 MG/ML) | Preferred | Preferred Preferred, needs PA | Brand |
This site is designed to provide information regarding Illinois Medicaid Fee-For-Service covered drugs. The search function contains prescription and select OTC medications covered by Medicaid, including those that require prior authorization. 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.