Illinois Healthcare and Family Services Illinois Healthcare and Family Services  
www.hfs.illinois.gov/

Rod R. Blagojevich, Governor

Skip to Content Skip to State Links

Contact Us
Archived Notices & Announcements
Cold & Cough (pdf)
Covered Vitamins (pdf)
Search for Prior Approval Status by Drug
Over-the-Counter
Medicare Part D
Tamper-Resistant Rx Pads
Three-Brand Limit
Medicaid PDL
PDL E-Mail Notification
PDL Background
PDL Process
Contact Form
Offer Form
D & T Committee
Submission of Clinical Information
Schedule of Class Reviews
I-SaveRx
Illinois Cares Rx
Rx Buying Club
Pharmacy Home
Medical Home
HFS Home
Illinois Home
[Search Tips]

  Drug Prior Approval Automated Voice Response System

 

1-800-642-7588 or 217-557-8039

The Automated Voice Response System (AVRS) is an enhancement of the Department's Drug Prior Approval process, in which pharmacy providers can inquire about or enter a request for a drug prior approval. This may be accomplished via either a touch tone or rotary dial phone.

The Department has provided a toll free 800 number (above) which handle up to twelve (12) phone calls at any given time.

The system is available twenty-four (24) hours a day. The Department has operator assistance available during normal HFS working hours (8:30 a.m. to 5:00 p.m., Monday through Friday, except Federal/State Holidays). If the HFS mainframe incurs an outage, the AVRS will advise the caller to try again later.

The caller will need to supply several items of information when requesting a prior approval or checking on the status of a previously submitted approval request. To accomplish this action, the caller will need:

TO CHECK ON PRIOR APPROVAL REQUEST STATUS

  • Valid HFS pharmacy provider ID number (12 digits)
  • Valid recipient ID (9 digits)
  • Eleven (11) digit National Drug Code (NDC)
  • Requested begin date, i.e., MM/DD/YY, e.g., 01/01/00

TO ENTER A REQUEST FOR PRIOR APPROVAL

  • Valid HFS pharmacy provider ID number (12 digits)
  • Valid recipient ID number (9 digits)
  • Eleven (11) digit National Drug Code (NDC)
  • ICD9CM diagnosis code (descriptive of condition)
  • Requested effective begin date, i.e., MM/DD/YY, e.g., 01/01/00
  • The Illinois Department of Healthcare and Family Services ID Number and telephone number of the prescribing practitioner

AVRS voice prompts guide the caller in the order in which the information MUST be provided. The AVRS provides the appropriate message regarding the prior approval request.

AVRS also has fax capability for verification of entry, approval or denial of a prior approval request. Callers requesting fax verification must enter their fax number (including area code) when prompted.

 

MAC Pricing Program
State MAC List
Signed Rebate Agreements
Guidelines and Forms
Information
Pharmacies
Copyright © 2005 
HFSIllinois
Privacy Information | Web Accessibility | Webmaster