Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
---|---|---|---|---|
CLINIMIX E INJ 2.75/D5W | *Amino Acid Electrolyte w/Cal Infusion 2.75% in D5W*** | Preferred | Preferred | Brand |
CLINIMIX E INJ 4.25/D10 | *Amino Acid Electrolyte w/Cal Infusion 4.25% in D10W*** | Preferred | Preferred | Brand |
CLINIMIX E INJ 4.25/D5W | *Amino Acid Electrolyte w/Cal Infusion 4.25% in D5W*** | Preferred | Preferred | Brand |
CLINIMIX E INJ 5%/D15W | *Amino Acid Electrolyte w/Cal Infusion 5% in D15W*** | Preferred | Preferred | Brand |
CLINIMIX E INJ 5%/D20W | *Amino Acid Electrolyte w/Cal Infusion 5% in D20W*** | Preferred | Preferred | Brand |
CLINIMIX E INJ 8/10 | *Amino Acid Electrolyte w/Cal Infusion 8% in D10W*** | Preferred | Preferred | Brand |
CLINIMIX E INJ 8/14 | *Amino Acid Electrolyte w/Cal Infusion 8% in D14W*** | Preferred | Preferred | Brand |
AMINOSYN INJ 10% | *Amino Acid Infusion 10%*** | Preferred | Preferred | Brand |
AMINOSYN-PF INJ 10% | *Amino Acid Infusion 10%*** | Preferred | Preferred | Brand |
PREMASOL SOL 10% | *Amino Acid Infusion 10%*** | Preferred | Preferred | Brand |
TRAVASOL INJ 10% | *Amino Acid Infusion 10%*** | Preferred | Preferred | Brand |
TROPHAMINE INJ 10% | *Amino Acid Infusion 10%*** | Preferred | Preferred | Brand |
AMINOSYN II SOL 15% | *Amino Acid Infusion 15%*** | Preferred | Preferred | Generic |
CLINISOL SF INJ 15% | *Amino Acid Infusion 15%*** | Preferred | Preferred | Generic |
PLENAMINE INJ 15% | *Amino Acid Infusion 15%*** | Preferred | Preferred | Generic |
PROSOL INJ 20% | *Amino Acid Infusion 20%*** | Preferred | Preferred | Brand |
CLINIMIX INJ 4.25/D10 | *Amino Acid Infusion 4.25% in D10W*** | Preferred | Preferred | Brand |
CLINIMIX INJ 4.25/D5W | *Amino Acid Infusion 4.25% in D5W*** | Preferred | Preferred | Brand |
CLINIMIX INJ 5%/D15W | *Amino Acid Infusion 5% in D15W*** | Preferred | Preferred | Brand |
CLINIMIX INJ 5%/D20W | *Amino Acid Infusion 5% in D20W*** | Preferred | Preferred | Brand |
CLINIMIX INJ 6/5 | *Amino Acid Infusion 6% in D5W*** | Preferred | Preferred | Brand |
AMINOSYN-PF INJ 7% | *Amino Acid Infusion 7%*** | Preferred | Preferred | Brand |
CLINIMIX INJ 8/10 | *Amino Acid Infusion 8% in D10W*** | Preferred | Preferred | Brand |
CLINIMIX INJ 8/14 | *Amino Acid Infusion 8% in D14W*** | Preferred | Preferred | 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.