Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
---|---|---|---|---|
ALBUTEROL AER HFA | Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) | Preferred | Preferred | Generic |
PROVENTIL AER HFA | Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) | Preferred | Preferred | Brand |
ALBUTEROL NEB 0.083% | Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) | Preferred | Preferred | Generic |
ALBUTEROL NEB 0.5% | Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) | Preferred | Preferred | Generic |
ALBUTEROL NEB 0.63MG/3 | Albuterol Sulfate Soln Nebu 0.63 MG/3ML (Base Equiv) | Preferred | Preferred | Generic |
ALBUTEROL NEB 1.25MG/3 | Albuterol Sulfate Soln Nebu 1.25 MG/3ML (Base Equiv) | Preferred | Preferred | Generic |
SYMBICORT AER 160-4.5 | Budesonide-Formoterol Fumarate Dihyd Aerosol 160-4.5 MCG/ACT | Preferred | Preferred | Brand |
SYMBICORT AER 80-4.5 | Budesonide-Formoterol Fumarate Dihyd Aerosol 80-4.5 MCG/ACT | Preferred | Preferred | Brand |
ADVAIR DISKU AER 100/50 | Fluticasone-Salmeterol Aer Powder BA 100-50 MCG/ACT | Preferred | Preferred | Brand |
AIRDUO RESPI INH 113-14 | Fluticasone-Salmeterol Aer Powder BA 113-14 MCG/ACT | Preferred | Preferred | Brand |
AIRDUO DGHLR INH 113-14 | Fluticasone-Salmeterol Aer Powder BA 113-14 MCG/ACT w/sensor | Preferred | Preferred | Brand |
AIRDUO RESPI INH 232-14 | Fluticasone-Salmeterol Aer Powder BA 232-14 MCG/ACT | Preferred | Preferred | Brand |
AIRDUO DGHLR INH 232-14 | Fluticasone-Salmeterol Aer Powder BA 232-14 MCG/ACT w/sensor | Preferred | Preferred | Brand |
ADVAIR DISKU AER 250/50 | Fluticasone-Salmeterol Aer Powder BA 250-50 MCG/ACT | Preferred | Preferred | Brand |
ADVAIR DISKU AER 500/50 | Fluticasone-Salmeterol Aer Powder BA 500-50 MCG/ACT | Preferred | Preferred | Brand |
AIRDUO RESPI INH 55-14 | Fluticasone-Salmeterol Aer Powder BA 55-14 MCG/ACT | Preferred | Preferred | Brand |
AIRDUO DGHLR INH 55-14 | Fluticasone-Salmeterol Aer Powder BA 55-14 MCG/ACT w/ sensor | Preferred | Preferred | Brand |
ADVAIR HFA AER 115/21 | Fluticasone-Salmeterol Inhal Aerosol 115-21 MCG/ACT | Preferred | Preferred | Brand |
ADVAIR HFA AER 230/21 | Fluticasone-Salmeterol Inhal Aerosol 230-21 MCG/ACT | Preferred | Preferred | Brand |
ADVAIR HFA AER 45/21 | Fluticasone-Salmeterol Inhal Aerosol 45-21 MCG/ACT | Preferred | Preferred | Brand |
IPRATROPIUM/ SOL ALBUTER | Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML | Preferred | Preferred | Generic |
ISOPROTEREN INJ 0.2MG/ML | Isoproterenol HCl Inj 0.2 MG/ML | Preferred | Preferred | Generic |
ISOPROTEREN INJ 1MG/5ML | Isoproterenol HCl Inj 0.2 MG/ML | Preferred | Preferred | Generic |
DULERA AER 100-5MCG | Mometasone Furoate-Formoterol Fumarate Aerosol 100-5 MCG/ACT | Preferred | Preferred | Brand |
DULERA AER 200-5MCG | Mometasone Furoate-Formoterol Fumarate Aerosol 200-5 MCG/ACT | Preferred | Preferred | Brand |
DULERA AER 50-5MCG | Mometasone Furoate-Formoterol Fumarate Aerosol 50-5 MCG/ACT | Preferred | Preferred | Brand |
SEREVENT DIS AER 50MCG | Salmeterol Xinafoate Aer Pow BA 50 MCG/ACT (Base Equiv) | Preferred | Preferred | Brand |
TERBUTALINE TAB 2.5MG | Terbutaline Sulfate Tab 2.5 MG | Preferred | Preferred | Generic |
TERBUTALINE TAB 5MG | Terbutaline Sulfate Tab 5 MG | Preferred | Preferred | Generic |
ANORO ELLIPT AER 62.5-25 | Umeclidinium-Vilanterol Aero Powd BA 62.5-25 MCG/ACT | Preferred | Preferred | 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.