NYS Medicaid Pharmacy Programs
Current Pharmacy Programs and Updates
NOTICE! Effective October 1, 2021 NY Medicaid will implement a single statewide Medication Assisted Treatment (MAT) formulary for opioid dependence agents and opioid antagonists for NYS Medicaid fee-for-service (FFS) and Medicaid Managed Care (MMC).
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)
NEW! Single Statewide Medication Assisted Treatment (MAT) Formulary
Recent Pharmacy News
NOTICE! Medicaid Update Special Edition - Part Two: Medicaid Pharmacy Carve-Out The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
Prior Authorization Resources
To obtain a prior authorization call (877) 309-9493 or fax the appropriate Prior Authorization form to (800) 268-2990.