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NYS Medicaid Pharmacy Programs

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Current Pharmacy Programs and Updates

Recent Pharmacy News

September 2020

New York State (NYS) Medicaid Fee-for Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 09/18/2020

Medicaid Pharmacy Prior Authorization Program Update Effective 10/08/2020

August 2020

New York State (NYS) Medicaid Fee-for Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 08/06/2020

June 2020

New York State (NYS) Medicaid Fee-for- Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 06/17/2020

May 2020

New York State (NYS) Medicaid Fee-for- Service (FFS) Policy and Billing Guidance for COVID-19 Testing at Pharmacies

Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of 05/22/2020

Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of 05/08/2020

Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of 04/30/2020

April 2020

Medicaid Pharmacy Prior Authorization Program Update Effective 05/14/2020

Medicaid Pharmacy Guidance Regarding the Declared Disaster Emergency in the State of New York - COVID-19 (As of 04/06/2020)

March 2020

Important Information Regarding Drug Allocation/Shortages as of 04/01/2020

Medicaid Pharmacy Guidance Regarding the Declared Disaster Emergency in the State of New York - COVID-19 As of 3/21/2020

Medicaid Pharmacy Guidance Regarding the Declared Disaster Emergency in the State of New York over COVID-19

Medicaid Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19)

Novel Coronavirus Resources for Providers

February 2020

REMINDER: Substance Use Disorder Drug Treatment, Medicaid Managed Care (MMC) and Fee-for Service (FFS) Coverage

Prescriptions Drugs Covered by Medicaid for Dual Eligible Members Update Effective 03/01/2020

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.

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