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NYS Medicaid Pharmacy Programs

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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
SMAC Program

Recent Pharmacy News

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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