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NYS Medicaid Pharmacy Prior Authorization Programs
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Current Pharmacy Programs and Updates
Preferred Drug List
Preferred Drug Program
Brand Less Than Generic Program
Dose Optimization Initiative
Drug Utilization Review Board (DURB) Recommendations
Preferred Diabetic Supply Program
Single State Supplemental Rebate Agreements (SRAs) for Preferred Anti-Retrovirals (ARVs)
SMAC Program
Recent Pharmacy News
November 2018
Update on Medicaid Fee-for-Service Prior Authorization of Topical Compounded Drug Products (Covered)
https://www.health.ny.gov/health_care/medicaid/program/update/2018/2018-11.htm#compounded
November 2018
Update to Medicaid Fee-for-Service Pharmacy Professional Dispensing Fee
https://www.health.ny.gov/health_care/medicaid/program/update/2018/2018-11.htm#dispensing
November 2018
Update to the NYS Fee-for-Service Preferred Diabetic Supply Program
https://www.health.ny.gov/health_care/medicaid/program/update/2018/2018-11.htm#diabetic
August 2018
Pharmacy Update on the Dose Optimization Program
https://www.health.ny.gov/health_care/medicaid/program/update/2018/2018-08.htm#doseopt
Access additional Medicaid Update articles.
Prior Authorization Resources
To obtain a prior authorization call (877) 309-9493 or fax the appropriate Prior Authorization form to (800) 268-2990.
PAXpress is a web-based application available for initiating prior authorization requests.
Sign up to receive e-mail notifications on New York Medicaid Pharmacy Prior Authorization program changes.
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