Asthma and Allergy Medications - Preferred Drug List Illinois Medicaid


If you have similar info for other states, please post it in the comments section below.

Inhaled Steroids

Preferred

Advair
Advair HFA
Asmanex (covered after age 12)
Dulera
Flovent
Qvar
Symbicort

Non-Preferred

Alvesco
budesonide respules (Prior approval NOT required for patients age 7 and under.)
Pulmicort

Leukotriene Antagonists

Preferred

montelukast
zafirlukast

Non-Preferred

Zyflo
Zyflo CR

Nasal Steroids

Preferred

flunisolide
fluticasone

Non-Preferred

Beconase AQ
Nasonex
Omnaris
Qnasal
Rhinocort Aqua
triamcinolone AQ
Veramyst
Zetonna

Nasal Preparations - Other

Preferred

First-Line

azelastine (For children through age 18)
Patanase (For children through age 18)

Second-Line

azelastine (For patients over age 18)
Patanase (For patients over age 18)

Non-Preferred

Astepro
Dymista
ipratropium spray

Ophthalmics – Allergic Conjunctivitis

Preferred

azelastine
Bepreve
Pataday
ketorolac
Alrex
cromolyn sodium

Non-Preferred

Emadine
epinastine
Lastacaft
Patanol
Alamast
Alocril
Alomide

References:

Preferred Drug List Illinois Medicaid. October 1, 2012, revised October 26, 2012.
http://www.hfs.illinois.gov/assets/pdl.pdf

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