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NYS Medicaid Pharmacy Programs

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Current Pharmacy Programs and Updates

Recent Pharmacy News

October 2020

Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists Effective December 1, 2020

September 2020

New York State (NYS) Medicaid Fee-for Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 09/18/2020

Medicaid Pharmacy Prior Authorization Program Update Effective 10/08/2020

August 2020

New York State (NYS) Medicaid Fee-for Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 08/06/2020

June 2020

New York State (NYS) Medicaid Fee-for- Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 06/17/2020

May 2020

New York State (NYS) Medicaid Fee-for- Service (FFS) Policy and Billing Guidance for COVID-19 Testing at Pharmacies

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

April 2020

Medicaid Pharmacy Prior Authorization Program Update Effective 05/14/2020

Medicaid Pharmacy Guidance Regarding the Declared Disaster Emergency in the State of New York - COVID-19 (As of 04/06/2020)

March 2020

Important Information Regarding Drug Allocation/Shortages as of 04/01/2020

Medicaid Pharmacy Guidance Regarding the Declared Disaster Emergency in the State of New York - COVID-19 As of 3/21/2020

Medicaid Pharmacy Guidance Regarding the Declared Disaster Emergency in the State of New York over COVID-19

Medicaid Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID-19)

Novel Coronavirus Resources for Providers

February 2020

REMINDER: Substance Use Disorder Drug Treatment, Medicaid Managed Care (MMC) and Fee-for Service (FFS) Coverage

Prescriptions Drugs Covered by Medicaid for Dual Eligible Members Update Effective 03/01/2020

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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