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Preferred Drug List
The Illinois Department of Healthcare and Family Services created a preferred drug list (PDL) in April of 2002, to promote clinically appropriate utilization of pharmaceuticals in a cost-effective manner. The Illinois Medicaid PDL process ensures that HFS' PDL is developed based on safety, effectiveness and clinical outcomes. If these factors indicate no therapeutic advantage among the drugs being considered in the same drug class, then HFS considers the net economic impact of such drugs when recommending drugs for inclusion in the PDL.
HFS contracts with the University of Illinois at Chicago (UIC) College of Pharmacy to perform a clinical review of products within the classes being reviewed. Upon receipt of the clinical recommendations, the department, in consultation with pharmacologists, pharmacists, and physicians, develops its PDL recommendations taking into account both clinical and cost factors. Those recommendations are then presented to the Illinois State Medical Society Committee on Drugs and Therapeutics (D and T Committee), a committee comprised of practicing physicians representing various specialties who actively participate in the Medicaid Program. The D and T Committee’s review and recommendations are based on evidence-based clinical information, not cost.
The PDL has proven a very effective tool in addressing the escalating cost of drugs. In FY'04, the state collected $104 million in supplemental rebates for the Medicaid and SeniorCare Programs and $12 million for the Pharmaceutical Assistance Program from manufacturers while ensuring access to clinically appropriate therapies. Significant additional savings is achieved by shifting utilization to the most clinically appropriate, cost-effective alternatives.
Medicaid & Illinois Cares Rx Preferred Drug List is available for download in Portable Document Format (PDF).
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