| Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
|---|---|---|---|---|
| AUSTEDO TAB 12MG | Deutetrabenazine Tab 12 MG | Preferred, needs PA | Preferred, needs PA | Brand |
| AUSTEDO TAB 6MG | Deutetrabenazine Tab 6 MG | Preferred, needs PA | Preferred, needs PA | Brand |
| AUSTEDO TAB 9MG | Deutetrabenazine Tab 9 MG | Preferred, needs PA | Preferred, needs PA | Brand |
| AUSTEDO XR TAB 12MG | Deutetrabenazine Tab ER 24HR 12 MG | Preferred, needs PA | Preferred, needs PA | Brand |
| AUSTEDO XR TAB 24MG | Deutetrabenazine Tab ER 24HR 24 MG | Preferred, needs PA | Preferred, needs PA | Brand |
| AUSTEDO XR TAB 6MG | Deutetrabenazine Tab ER 24HR 6 MG | Preferred, needs PA | Preferred, needs PA | Brand |
| AUSTEDO XR TAB TITR KIT | Deutetrabenazine Tab ER Titration Pack 6 MG & 12 MG & 24 MG | Preferred, needs PA | Preferred, needs PA | Brand |
| INGREZZA CAP 40MG | Valbenazine Tosylate Cap 40 MG (Base Equiv) | Preferred, needs PA | Preferred, needs PA | Brand |
| INGREZZA CAP 60MG | Valbenazine Tosylate Cap 60 MG (Base Equiv) | Preferred, needs PA | Preferred, needs PA | Brand |
| INGREZZA CAP 80MG | Valbenazine Tosylate Cap 80 MG (Base Equiv) | Preferred, needs PA | Preferred, needs PA | Brand |
| INGREZZA CAP 40-80MG | Valbenazine Tosylate Cap Therapy Pack 40 MG (7) & 80 MG (21) | Preferred, needs PA | 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.