Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
---|---|---|---|---|
JORNAY PM CAP 100MG ER | Methylphenidate HCl Cap Delayed ER 24HR 100 MG (PM) | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
JORNAY PM CAP 20MG ER | Methylphenidate HCl Cap Delayed ER 24HR 20 MG (PM) | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
JORNAY PM CAP 40MG ER | Methylphenidate HCl Cap Delayed ER 24HR 40 MG (PM) | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
JORNAY PM CAP 60MG ER | Methylphenidate HCl Cap Delayed ER 24HR 60 MG (PM) | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
JORNAY PM CAP 80MG ER | Methylphenidate HCl Cap Delayed ER 24HR 80 MG (PM) | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
DAYTRANA DIS 10MG/9HR | Methylphenidate TD Patch 10 MG/9HR | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
DAYTRANA DIS 15MG/9HR | Methylphenidate TD Patch 15 MG/9HR | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
DAYTRANA DIS 20MG/9HR | Methylphenidate TD Patch 20 MG/9HR | Preferred, needs PA | Preferred Preferred, needs PA | Brand |
DAYTRANA DIS 30MG/9HR | Methylphenidate TD Patch 30 MG/9HR | 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.