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NYS Medicaid Pharmacy Programs
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Current Pharmacy Programs and Updates
Managed Care (MCO) to FFS Pharmacy Benefit Transition Effective 04/01/2021
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)
SMAC Program
Recent Pharmacy News
January 2021
Medicaid Pharmacy Prior Authorization Programs Update - Effective February 4, 2021
December 2020
Medicaid Update Special Edition - Part One: Medicaid Pharmacy Carve-Out
November 2020
UPDATE: Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists
October 2020
Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists Effective December 1, 2020
September 2020
Medicaid Pharmacy Prior Authorization Program Update Effective 10/08/2020
August 2020
June 2020
May 2020
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
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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