Date: February 2, 2021
To: Enrolled Pharmacies, Physicians,
Physician Assistants, Advance Practice Nurses, Local Health Departments,
School-Based Clinics, Federally Qualified Health Centers, Rural Health Centers,
and Encounter Rate Clinics
Re: Reminder Regarding Dispensing of
Contraceptive Drugs or Supplies and Emergency Contraceptives
notice is a reminder regarding the dispensing quantity for contraceptive drugs
or supplies and emergency contraceptives. This
information applies to participants covered under traditional Medicaid
fee-for-service, as well as those enrolled in a HealthChoice Illinois managed care plan.
must dispense the three-month supply of contraceptive drugs or supplies
allowable by the Department whenever possible. Exceptions may be made when
medically contraindicated and documented in the patient’s chart, or if patient
and provider decision making does not require a three-month supply to be
dispensed. Providers should ensure medical records
document the reason for not dispensing the required three-month supply.
Providers are also reminded of the dispensing policy for
emergency contraceptive pills (ECPs), which allows for advance provision of up
to three doses, including over the counter (OTC) emergency contraceptive drugs
or supplies with a prescription. In most cases, providing patients with
sufficient supply increases adherence to the method. Clinical guidelines
encourage timely provision and patients should also be counseled on a more
effective form of birth control at the time ECPs are provided.
regarding this notice may be directed to the Bureau of Professional and
Ancillary Services at 877-782-5565 for fee-for-service claims, or to the
applicable managed care plan.
of Medical Programs