# 89 Ill. Adm. Code 1400.140.414: Section 140.414 Requirements for Prescriptions and Dispensing of Pharmacy Items – Prescibers

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_414

## Section

- **Citation:** 89 Ill. Adm. Code 1400.140.414
- **Heading:** Section 140.414 Requirements for Prescriptions and Dispensing of Pharmacy Items – Prescibers
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 89  /  / Part 1400  / Section 140.414 Requirements for Prescriptions and Dispensing of Pharmacy Items – Prescibers

## Text

Section 140
TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 140 MEDICAL PAYMENT
SECTION 140.414 REQUIREMENTS FOR PRESCRIPTIONS AND DISPENSING OF PHARMACY ITEMS – PRESCIBERS
Section 140.414  Requirements
for Prescriptions and Dispensing of Pharmacy Items – Prescibers
For the purpose of this Section,
"prescriber" shall mean any person who, within the scope of his or
her professional licensing requirements, may prescribe or dispense drugs.
a)         Prescriptions
1)         A prescriber may prescribe any pharmacy item, not otherwise
excluded, that, in the prescriber's professional judgment, is essential for the
diagnosis or accepted treatment of a recipient's present symptoms.  The
Department may require prior approval of any drug except as outlined in Section
140.442(a)(9).
2)         A prescriber shall:
A)        Use a tamper-resistant prescription form, as defined at Section
140.443(b)(2), for non-electronic prescriptions.  Non-electronic prescriptions
are defined at Section 140.443(b)(1).  In addition, the prescriber shall ensure
the prescription form is compliant with Section 3(e) of the Pharmacy Practice
Act of 1987 [225 ILCS 85/3(e)], 68 Ill. Adm. Code 1330 and 42 USC 1936(i)(23);
and
B)        Enter on the form all data elements required under Section 3(e)
of the Pharmacy Practice Act of 1987 [225 ILCS 85/3(e)], 68 Ill. Adm. Code 1330
and 42 USC 1936(i)(23), as well as one of the following data elements
identifying the prescriber:
i)          Drug
Enforcement Administration (DEA) Number; or
ii)        National Provider Indentifier (NPI); or
iii)       Medical Assistance Program Provider Number; or
iv)       Illinois State License Number.
3)         The prescriber shall not charge for writing a prescription.
4)         Items that shall not be prescribed are listed in Section
140.441
ta elements
identifying the prescriber:
i)          Drug
Enforcement Administration (DEA) Number; or
ii)        National Provider Indentifier (NPI); or
iii)       Medical Assistance Program Provider Number; or
iv)       Illinois State License Number.
3)         The prescriber shall not charge for writing a prescription.
4)         Items that shall not be prescribed are listed in Section
140.441.
b)         Dispensed
Items
1)         A participating prescriber may dispense pharmacy items subject
to the Department's coverage policies.  The prescriber shall not charge for any
samples dispensed or anesthesia agents administered for office surgical
procedures.
2)         Effective July 1, 2012, the Department shall pay for covered
outpatient drug items dispensed or administered by a non-pharmacy provider at a
rate equal to the lowest of the provider's usual and customary charge to the
public; or
A)        The
Average Sales Price (ASP) plus 6 percent.  ASP means the ASP as defined in the
Social Security Act, Title XVIII, section 1847A(c) (42 USC 1395 w-3a(c)) and
calculated by the federal Centers for Medicare and Medicaid Services (CMMS); or
B)        The
State upper limit.
3)         Effective
July 1, 2012, in cases in which ASP is not available and no State upper limit
has been developed, the Department's lowest maximum allowable price for all
covered NDCs assigned to the HCPCS billing code (the methodology for
determining the Department's maximum prescription prices is specified in Section
140.445(b)(1) and (b)(2)).
4)         Reimbursement
rates for drugs dispensed or administered by non-pharmacy providers shall be
updated no less frequently than twice per calendar year.

## Nearby sections

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- [89 Ill. Adm. Code 1400.140.405 Section 140.405  Non-Institutional Rate Reductions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_405.md)
- [89 Ill. Adm. Code 1400.140.410 Section 140.410  Physicians' Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_410.md)
- [89 Ill. Adm. Code 1400.140.411 Section 140.411  Covered Services By Physicians](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_411.md)
- [89 Ill. Adm. Code 1400.140.412 Section 140.412  Services Not Covered By Physicians](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_412.md)
- [89 Ill. Adm. Code 1400.140.413 Section 140.413  Limitation on Physician Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_413.md)
- [89 Ill. Adm. Code 1400.140.414 Section 140.414  Requirements for Prescriptions and Dispensing of Pharmacy Items – Prescibers](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_414.md)
- [89 Ill. Adm. Code 1400.140.416 Section 140.416  Optometric Services and Materials](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_416.md)
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- [89 Ill. Adm. Code 1400.140.434 Section 140.434  Record Requirements for Independent Clinical Laboratories](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_434.md)
- [89 Ill. Adm. Code 1400.140.442 Section 140.442  Drug Product Prior Approval and the Preferred Drug List](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_442.md)
- [89 Ill. Adm. Code 1400.140.443 Section 140.443  Filling of Prescriptions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_443.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1400_S140_414. Check the current official text before relying on it. Not legal advice.
