Section 140.449  Payment of Pharmacy Items

 

a)         The Department shall pay no more for charges submitted than the maximum permitted by federal regulations.

 

b)         Explanation of Drug Restrictions

 

1)         Group Care Restricted − The drug is available to all recipient categories except individuals residing in a nursing home.

 

2)         The nursing home must provide the following listed drugs to resident recipients at no charge to the recipient:

 

Acetaminophen Drops 80mg/0.8ml

 

Acetaminophen Drops 120mg/2.5ml

 

Acetaminophen Elixir/Syrup 120mg/5ml

 

Acetaminophen Tab/Cap 325mg

 

Acetaminophen Tab/Cap 500mg

 

Acetaminophen Tab/Cap 650mg

 

Acetaminophen Tablet Chewable 80mg

 

Acetaminophen Tablet Chewable 120mg

 

Aspirin Tab Buffered 325mg

 

Aspirin Tab Buffered 600mg

 

Aspirin Tab EC 300mg

 

Aspirin Tab EC 600mg

 

Aspirin Tab Pediatric

 

Aspirin Tab 300mg

 

Aspirin Tab 600mg

 

Glucola Liquid

 

Milk of Magnesia Liquid

 

Milk of Magnesia Tablet

 

Zinc Oxide Ointment

 

c)         No restrictions – The drug is available to all recipient categories, including nursing home residents and recipients of basic health coverage.

 

d)         Group Care Restricted – The drug is available to all recipients except recipients residing in nursing homes.  The nursing home must provide the following listed items to resident recipients at no charge to the recipient:

 

Acetest Reagent Tablets

 

Albustix Strips

 

Chemstrip BG Strips

 

Chemstrip GP Chemstrip K Papers

 

Chemstrip Test Kit

 

Chemstrip UG Strips

 

Chemstrip UGK Strips

 

Chemstrip 5

 

Clinistix Strip

 

Clinitest (2 Drop)

 

Clinitest Analysis Set

 

Clinitest Analysis Set (2 Drop)

 

Clinitest Tablet

 

Clinitest Tablet Foil

 

Combistix

 

Dextrostix Reagent Strips

 

Dextrostix Reagent Strips Foil

 

Diascan Dual Pad Strips

 

Diastix Strips

 

Exactech Test Strips

 

Glucofilm Test Strips

 

Glucoscan Test Strips

 

Glucostix Strips

 

Hema-Combistix

 

Hemastix Strips

 

Hematest Tablet

 

Keto-Diastix

 

Keto-Diastix 5

 

Ketostix Strips

 

Labstix

 

Lancet for Diabetic Use, Sterile

 

N-Uristix

 

One Touch Test Strips

 

TES-Tape

 

Tracer BG Strips

 

Trendstrips

 

Uristix

 

Visidex II Reagent Strips

 

Any product equivalent to those on the above list or any other nonlisted diabetic testing supply

 

e)        Group care limited – The drug is available only to recipients residing in nursing homes.

 

(Source:  Amended at 37 Ill. Reg. 10282, effective June 27, 2013)