Medicaid Update: Drug List Changes, Effective March 13, 2025

April 30, 2025 

The state of Illinois has made some coverage changes to the drug list (formulary) used by our Medicaid members who have prescription drug benefits through Blue Cross Community Health PlansSM . These changes went into effect March 13, 2025. Members impacted by these changes will be allowed to stay on their drug therapy until June 30, 2025

Letters have been sent to the impacted members informing them of the coverage change and next steps to keep coverage: 

A summary of the changes is below. Be sure to check the Drug List for BCCHPSM for more updates. Your patients may reach out to you about their coverage options. 

 

Impacted Drug(s)

Preferred Alternatives 

Preferred Alternatives’ NDCs

Humalog vials, Humalog Jr Pens, Humalog Kwik Pens 100/ml

INSULIN ASPA INJ 100/ML

73070010011

INSULIN ASPA INJ FLEXPEN

73070010310

73070010315

INSULIN ASPA INJ PENFILL

73070010210

73070010215

INSULIN LISP INJ 100/ML

00002773701

00002822201

00002822259

INSULIN LISP INJ JUNIOR

00002775201

00002775205

Humira Pen/Kit/Inj

ADALIMUMAB-ADBM PREFILLED SYRINGE KIT 40 MG/0.4 ML

00597056520

ADALIMUMAB-ADBM AUTO-INJECTOR KIT 40 MG/0.4 ML

00597057540

00597057550

00597057560

SIMLANDI KIT 20/0.2 ML

51759038622

SIMLANDI 2PN INJ 40/0.4 ML

51759040202

SIMLANDI 1PN KIT 40/0.4 ML

51759040217

SIMLANDI KIT 40/0.4 ML

51759041222

SIMLANDI KIT 80/0.8 ML

51759052321

OneTouch Testing Strips/Kits

CONTOUR PLUS BLOOD GLUCOSE TEST STRIPS

00193758450

CONTOUR PLUS BLUE BLOOD GLUCOSE MONITORING SYSTEM

00193703601

MICROLET LANCETS

00193658621

MICROLET LANCET DEVICE

00193670201

   

Humalog Kwik Inj 200/ml

No change, remains preferred

00002771201

00002771227

Humalog Inj 100/ml

No change, remains preferred

00002751601

00002751659