| Label Name | Generic Description | Preferred Status | Alternatives | Brand/Generic Code |
|---|---|---|---|---|
| BACITRACIN OIN OP | Bacitracin Ophth Oint 500 Unit/GM | Preferred | Preferred | Generic |
| BACIT/POLYMY OIN OP | Bacitracin-Polymyxin B Ophth Oint | Preferred | Preferred | Generic |
| POLYCIN OIN OP | Bacitracin-Polymyxin B Ophth Oint | Preferred | Preferred | Generic |
| CILOXAN OIN 0.3% OP | Ciprofloxacin HCl Ophth Oint 0.3% | Preferred | Preferred | Brand |
| CIPROFLOXACN SOL 0.3% OP | Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent) | Preferred | Preferred | Generic |
| ERYTHROMYCIN OIN 5MG/GM | Erythromycin Ophth Oint 5 MG/GM | Preferred | Preferred | Generic |
| ZIRGAN GEL 0.15% | Ganciclovir Ophth Gel 0.15% | Preferred | Preferred | Brand |
| GENTAMICIN SOL 0.3% OP | Gentamicin Sulfate Ophth Soln 0.3% | Preferred | Preferred | Generic |
| NEO-POLYCIN OIN OP | Neomycin-Bacitrac Zn-Polymyx 5(3.5)MG-400Unt-10000Unt Op Oin | Preferred | Preferred | Generic |
| NEO/BAC/POLY OIN OP | Neomycin-Bacitrac Zn-Polymyx 5(3.5)MG-400Unt-10000Unt Op Oin | Preferred | Preferred | Generic |
| NEO/POLY/GRA SOL OP | Neomycin-Polymy-Gramicid Op Sol 1.75-10000-0.025MG-UNT-MG/ML | Preferred | Preferred | Generic |
| OFLOXACIN DRO 0.3% OP | Ofloxacin Ophth Soln 0.3% | Preferred | Preferred | Generic |
| POLYMYXIN B/ SOL TRIMETHP | Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1% | Preferred | Preferred | Generic |
| SULFACET SOD OIN 10% OP | Sulfacetamide Sodium Ophth Oint 10% | Preferred | Preferred | Generic |
| SULFACET SOD SOL 10% OP | Sulfacetamide Sodium Ophth Soln 10% | Preferred | Preferred | Generic |
| TOBREX OIN 0.3% OP | Tobramycin Ophth Oint 0.3% | Preferred | Preferred | Brand |
| TOBRAMYCIN SOL 0.3% OP | Tobramycin Ophth Soln 0.3% | Preferred | Preferred | Generic |
| TRIFLURIDINE SOL 1% OP | Trifluridine Ophth Soln 1% | 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.