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NYS Medicaid Pharmacy Prior Authorization Programs


Latest News

January 2018
Changes to Medicaid FFS Pharmacy Reimbursement To Be Implemented February 22, 2018

January 2018
Medicaid FFS Pharmacy Change in Early Fill Edit for Controlled Substances

November 2017
Authorized Agents for Prior Authorizations of Prescription Drugs

Medicaid Preferred Drug Program

Welcome to the NYS Medicaid Pharmacy Prior Authorization Programs Web site.

The Preferred Drug List also includes links to the DUR program web site for drugs/drug classes within the Preferred Drug Program that are affected by step therapy and F/Q/D requirements.

List of Preferred and Non-Preferred Drugs
Prior Authorization forms
Single State Supplemental Rebate Agreements (SRAs) for Preferred Anti-Retrovirals (ARVs)
SMAC Information

Review information related to updated NYS Medicaid Drug Utilization Review Board recommendations.

Read about information regarding initiating prior authorization requests using a web-based application, PAXpress.

The Preferred Diabetic Supply Program (PDSP) covers blood glucose monitors and test strips through the use of a preferred supply list (PSL). Review recent changes to the program.

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