Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
---|---|---|---|---|
ABILIFY ASIM INJ 720MG | Aripiprazole IM ER Susp Prefilled Syringe 720 MG/2.4ML | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ABILIFY ASIM INJ 960MG | Aripiprazole IM ER Susp Prefilled Syringe 960 MG/3.2ML | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ABILIFY MAIN INJ 300MG | Aripiprazole IM For ER Susp Prefilled Syringe 300 MG | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ABILIFY MAIN INJ 400MG | Aripiprazole IM For ER Susp Prefilled Syringe 400 MG | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ABILIFY MAIN INJ 300MG | Aripiprazole IM For Extended Release Susp 300 MG | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ABILIFY MAIN INJ 400MG | Aripiprazole IM For Extended Release Susp 400 MG | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ARISTADA INJ 1064MG | Aripiprazole Lauroxil IM ER Susp Prefilled Syr 1064 MG/3.9ML | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ARISTADA INJ 441MG/1. | Aripiprazole Lauroxil IM ER Susp Prefilled Syr 441 MG/1.6ML | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ARISTADA INJ 662MG/2 | Aripiprazole Lauroxil IM ER Susp Prefilled Syr 662 MG/2.4ML | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ARISTADA INJ INITIO | Aripiprazole Lauroxil IM ER Susp Prefilled Syr 675 MG/2.4ML | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
ARISTADA INJ 882MG/3 | Aripiprazole Lauroxil IM ER Susp Prefilled Syr 882 MG/3.2ML | Preferred, needs PA | 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.