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NYRx, the Medicaid Pharmacy Program
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Current Pharmacy Programs and Updates
For provider inquiries pertaining to eligibility, Point of Service (POS), DVS, or Pharmacy claims:
eMedNY Call Center 1-800-343-9000
7:00 a.m. - 10:00 p.m., Eastern Time, Monday through Friday (excluding holidays)
8:30 a.m. - 5:30 p.m., Eastern Time, Holidays and Weekends
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)
NYRx Medication Assisted Treatment (MAT) Formulary
SMAC Program
Recent Pharmacy News
June 2023
NYRx Medicaid Pharmacy Prior Authorization Programs Update – Effective August 3, 2023
May 2023
NYRx Claim Submissions - Top Edit Resource (updated 5/30/2023)
NYRx Claim Submissions - Top Edit Resource
March 2023
Medicaid Pharmacy Prior Authorization Programs Update (Spinraza®) - Effective April 27, 2023
Medicaid Pharmacy Prior Authorization Programs Update (Evrysdi®) - Effective April 27, 2023
NYRx Pharmacy Benefit Transition Special Edition - Part Three Volume 39 - Number 5
February 2023
January 2023 NYRx Pharmacy Benefit Transition Part Two: Special Edition Volume 39 - Number 1
January 2023
Pharmacy Prescription Drug Benefit Transition: Part One Special Edition
Prior Authorization Resources
To obtain a prior authorization call (877) 309-9493 or fax the appropriate Prior Authorization form to (800) 268-2990. The clinical call center is available 24 hours a day, 7 days per week.
PAXpress is a web-based application available for initiating prior authorization requests.
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