| Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
|---|---|---|---|---|
| LIORESAL INT INJ 0.05MG/1 | Baclofen Intrathecal Inj 0.05 MG/ML (50 MCG/ML) | Preferred | Preferred | Brand |
| LIORESAL INT INJ 50MCG/ML | Baclofen Intrathecal Inj 0.05 MG/ML (50 MCG/ML) | Preferred | Preferred | Brand |
| BACLOFEN INJ 10/20ML | Baclofen Intrathecal Inj 10 MG/20ML (500 MCG/ML) | Preferred | Preferred | Generic |
| BACLOFEN INJ 10MG/20 | Baclofen Intrathecal Inj 10 MG/20ML (500 MCG/ML) | Preferred | Preferred | Generic |
| GABLOFEN INJ 10000/20 | Baclofen Intrathecal Inj 10 MG/20ML (500 MCG/ML) | Preferred | Preferred | Brand |
| LIORESAL INT INJ 10/20ML | Baclofen Intrathecal Inj 10 MG/20ML (500 MCG/ML) | Preferred | Preferred | Brand |
| LIORESAL INT INJ 10MG/20 | Baclofen Intrathecal Inj 10 MG/20ML (500 MCG/ML) | Preferred | Preferred | Brand |
| LIORESAL INT INJ 10MG/5ML | Baclofen Intrathecal Inj 10 MG/5ML (2000 MCG/ML) | Preferred | Preferred | Brand |
| BACLOFEN INJ 20/20ML | Baclofen Intrathecal Inj 20 MG/20ML (1000 MCG/ML) | Preferred | Preferred | Generic |
| BACLOFEN INJ 20MG/20 | Baclofen Intrathecal Inj 20 MG/20ML (1000 MCG/ML) | Preferred | Preferred | Generic |
| GABLOFEN INJ 20000/20 | Baclofen Intrathecal Inj 20 MG/20ML (1000 MCG/ML) | Preferred | Preferred | Brand |
| BACLOFEN INJ 40/20ML | Baclofen Intrathecal Inj 40 MG/20ML (2000 MCG/ML) | Preferred | Preferred | Generic |
| BACLOFEN INJ 40MG/20 | Baclofen Intrathecal Inj 40 MG/20ML (2000 MCG/ML) | Preferred | Preferred | Generic |
| GABLOFEN INJ 40000/20 | Baclofen Intrathecal Inj 40 MG/20ML (2000 MCG/ML) | Preferred | Preferred | Brand |
| LIORESAL INT INJ 40/20ML | Baclofen Intrathecal Inj 40 MG/20ML (2000 MCG/ML) | Preferred | Preferred | Brand |
| LIORESAL INT INJ 40MG/20 | Baclofen Intrathecal Inj 40 MG/20ML (2000 MCG/ML) | Preferred | Preferred | Brand |
| GABLOFEN INJ 10000/20 | Baclofen Intrathecal Soln Prefilled Syringe 10000 MCG/20ML | Preferred | Preferred | Brand |
| GABLOFEN INJ 20000/20 | Baclofen Intrathecal Soln Prefilled Syringe 20000 MCG/20ML | Preferred | Preferred | Brand |
| GABLOFEN INJ 40000/20 | Baclofen Intrathecal Soln Prefilled Syringe 40000 MCG/20ML | Preferred | Preferred | Brand |
| BACLOFEN INJ 50MCG/ML | Baclofen Intrathecal Soln Prefilled Syringe 50 MCG/ML | Preferred | Preferred | Generic |
| GABLOFEN INJ 50MCG/ML | Baclofen Intrathecal Soln Prefilled Syringe 50 MCG/ML | Preferred | Preferred | Brand |
| BACLOFEN SUS 25MG/5ML | Baclofen Susp 25 MG/5ML | Preferred | Preferred | Generic |
| BACLOFEN TAB 10MG | Baclofen Tab 10 MG | Preferred | Preferred | Generic |
| BACLOFEN TAB 20MG | Baclofen Tab 20 MG | Preferred | Preferred | Generic |
| BACLOFEN TAB 5MG | Baclofen Tab 5 MG | Preferred | Preferred | Generic |
| CHLORZOXAZON TAB 250MG | Chlorzoxazone Tab 250 MG | Preferred | Preferred | Generic |
| CHLORZOXAZON TAB 375MG | Chlorzoxazone Tab 375 MG | Preferred | Preferred | Generic |
| LORZONE TAB 375MG | Chlorzoxazone Tab 375 MG | Preferred | Preferred | Generic |
| CHLORZOXAZON TAB 500MG | Chlorzoxazone Tab 500 MG | Preferred | Preferred | Generic |
| CHLORZOXAZON TAB 750MG | Chlorzoxazone Tab 750 MG | Preferred | Preferred | Generic |
| LORZONE TAB 750MG | Chlorzoxazone Tab 750 MG | Preferred | Preferred | Generic |
| CYCLOBENZAPR TAB 10MG | Cyclobenzaprine HCl Tab 10 MG | Preferred | Preferred | Generic |
| CYCLOBENZAPR TAB 5MG | Cyclobenzaprine HCl Tab 5 MG | Preferred | Preferred | Generic |
| CYCLOBENZAPR TAB 7.5MG | Cyclobenzaprine HCl Tab 7.5 MG | Preferred | Preferred | Generic |
| FEXMID TAB 7.5MG | Cyclobenzaprine HCl Tab 7.5 MG | Preferred | Preferred | Generic |
| METHOCARBAM INJ 1000MG | Methocarbamol Inj 1000 MG/10ML | Preferred | Preferred | Generic |
| METHOCARBAM INJ 100MG/ML | Methocarbamol Inj 1000 MG/10ML | Preferred | Preferred | Generic |
| METHOCARBAM TAB 500MG | Methocarbamol Tab 500 MG | Preferred | Preferred | Generic |
| METHOCARBAM TAB 750MG | Methocarbamol Tab 750 MG | Preferred | Preferred | Generic |
| ORPHENADRINE INJ 30MG/ML | Orphenadrine Citrate Inj 30 MG/ML | Preferred | Preferred | Generic |
| ORPHENADRINE TAB 100MG ER | Orphenadrine Citrate Tab ER 12HR 100 MG | Preferred | Preferred | Generic |
| TIZANIDINE TAB 2MG | Tizanidine HCl Tab 2 MG (Base Equivalent) | Preferred | Preferred | Generic |
| TIZANIDINE TAB 4MG | Tizanidine HCl Tab 4 MG (Base Equivalent) | Preferred | Preferred | Generic |
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.