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NYS Medicaid Pharmacy Prior Authorization Programs


Current Pharmacy Programs and Updates

Recent Pharmacy News

August 2018
Pharmacy Update on the Dose Optimization Program

July 2018
Changes to Medicaid FFS Pharmacy PA Programs Implemented August 2, 2018

January 2018
Changes to Medicaid FFS Pharmacy Reimbursement 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

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.

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