MedicaidReimbursementLow impact
Pharmacy Reimbursement Rates Effective February 1, 2012
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Feb 1, 2012
We identified it
Jun 20, 2026
Summary
Illinois Medicaid pharmacy reimbursement rates changed effective February 1, 2012, with new dispensing fees of $6.35 for generics (up from $4.60) and $3.40 for brand name drugs. Pharmacies must increase generic dispensing rates by 2% over two years or the generic fee reverts to $4.60 in 2015.
Action Required
No action required for medical billing teams - this policy affects pharmacy reimbursement rates only, not physician billing codes or procedures.