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Your Medicaid drug coverage

Learn which drugs are covered by your Medicaid plan, where to get them filled and how to check your drug list.

How your pharmacy benefit works

Your state’s Drug List shows drugs your Medicaid plan covers. You can get drugs that are: 

  • Listed on your state’s Drug List (also called a PDL, CDL, or formulary).  To see your drug list tap the link 

  • Prescribed by a doctor who works with your state program. 

  • Filled at a Pharmacy that works with your state program.To see what pharmacies are in your plan list tap the link 

Some drugs may have rules, like: 

  • Age limits. 

  • Limits on how much you can get. 

  • Limits on how soon you can fill the drug again. 

  • You must try one drug before another (preferred drugs). 

  • Prior authorization (your doctor must ask for approval first). 

How the drug list works

Your state’s drug list contains medicines covered by your Medicaid plan. To see if your drug is covered, use the drug look up tool.

or view the Illinois Medicaid Preferred Drug List (PDL).

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