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NYRx, the Medicaid Pharmacy Program
NYRx Education & Outreach
NYRx Education & Outreach
About Us
The NYRx Education and Outreach (E&O) team serves as a liaison between stakeholders (such as Prescribers, Pharmacies, and Managed Care Plans) and New York State Department of Health to support care coordination and provide informing materials, trainings, and timely communications regarding NYRx, the Medicaid Pharmacy Program.
NYRx E&O supports and helps solve complex pharmacy cases for:
- Managed Care Plans
- Case workers and New York State agencies
- Prescribers and pharmacies with questions regarding NYRx drug coverage, prior authorization requirements, and NYRx enrolled pharmacies
- Complex care coordination for populations including but not limited to youth who are in Foster Care and those living with HIV/AIDS, bleeding disorders such as Hemophilia, Serious Mental Illness, Substance Use Disorder, and Hepatitis C.
Contact Us
The NYRx Education & Outreach Call Center is available by phone at 1-833-967-7310 or by email at NYRxEO@primetherapeutics.com from 8:00 AM to 5:00 PM ET, Monday through Friday, excluding holidays.
Office Hours
The NYRx E&O team hosts virtual support drop-in sessions daily during the week for stakeholders to hop in and ask questions when support is needed.
Managed Care Organization (MCO) Office Hours:
- Hosted via Teams, weekly on Monday and Wednesday, from 12PM - 1PM ET, excluding holidays.
- Join the MCO virtual support drop-in session.
Providers and Pharmacies Office Hours:
- Hosted via Teams, weekly on Tuesday and Thursday, from 12PM - 1PM ET, excluding holidays.
- Join the Providers and Pharmacies virtual support drop-in session.
Trainings
The NYRx E&O team hosts a weekly live training webinar providing an overview of NYRx, the Medicaid Pharmacy Program. The agenda also includes the Preferred Drug Program (PDP), the Drug Utilization Review Program (DUR), and the Brand Less Than Generic Program (BLTG).
Webinars occur every Friday from 12PM - 1PM ET, excluding holidays.
Registration is required.
In addition, recorded sessions of NYRx E&O educational webinars are available on the NYRx E&O YouTube channel. To view a specific webinar or for a copy of the slides select from the list below.
- NYRx, the Medicaid Pharmacy Program Overview: webinar or slides
- NYRx BLTG Program: webinar or slides
- NYRx Clinical Criteria (CC): webinar or slides
- NYRx Dose Optimization Program: webinar or slides
- NYRx Drug Utilization Review (DUR) Program: webinar or slides
- NYRx PDP/PDL Program: webinar or slides
- NYRx Step Therapy (ST): webinar or slides