| Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
|---|---|---|---|---|
| AMPHET/DEXTR CAP 10MG ER | Amphetamine-Dextroamphetamine Cap ER 24HR 10 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR CAP 15MG ER | Amphetamine-Dextroamphetamine Cap ER 24HR 15 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR CAP 20MG ER | Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR CAP 25MG ER | Amphetamine-Dextroamphetamine Cap ER 24HR 25 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR CAP 30MG ER | Amphetamine-Dextroamphetamine Cap ER 24HR 30 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR CAP 5MG ER | Amphetamine-Dextroamphetamine Cap ER 24HR 5 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR TAB 10MG | Amphetamine-Dextroamphetamine Tab 10 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR TAB 12.5MG | Amphetamine-Dextroamphetamine Tab 12.5 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR TAB 15MG | Amphetamine-Dextroamphetamine Tab 15 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR TAB 20MG | Amphetamine-Dextroamphetamine Tab 20 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR TAB 30MG | Amphetamine-Dextroamphetamine Tab 30 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR TAB 5MG | Amphetamine-Dextroamphetamine Tab 5 MG | Preferred | Preferred Preferred, needs PA | Generic |
| AMPHET/DEXTR TAB 7.5MG | Amphetamine-Dextroamphetamine Tab 7.5 MG | Preferred | Preferred Preferred, needs PA | Generic |
| VYVANSE CAP 10MG | Lisdexamfetamine Dimesylate Cap 10 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CAP 20MG | Lisdexamfetamine Dimesylate Cap 20 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CAP 30MG | Lisdexamfetamine Dimesylate Cap 30 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CAP 40MG | Lisdexamfetamine Dimesylate Cap 40 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CAP 50MG | Lisdexamfetamine Dimesylate Cap 50 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CAP 60MG | Lisdexamfetamine Dimesylate Cap 60 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CAP 70MG | Lisdexamfetamine Dimesylate Cap 70 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CHW 10MG | Lisdexamfetamine Dimesylate Chew Tab 10 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CHW 20MG | Lisdexamfetamine Dimesylate Chew Tab 20 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CHW 30MG | Lisdexamfetamine Dimesylate Chew Tab 30 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CHW 40MG | Lisdexamfetamine Dimesylate Chew Tab 40 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CHW 50MG | Lisdexamfetamine Dimesylate Chew Tab 50 MG | Preferred | Preferred Preferred, needs PA | Brand |
| VYVANSE CHW 60MG | Lisdexamfetamine Dimesylate Chew Tab 60 MG | 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.