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NYS Medicaid Pharmacy Programs
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Current Pharmacy Programs and Updates
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
April 2021
Attention All Providers: The Pharmacy Carve-Out Has Been Delayed by Two Years, until April 1, 2023
Medicaid Pharmacy Prior Authorization Programs Update - Effective April 22, 2021
March 2021
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.
February 2021
January 2021
Medicaid Pharmacy Prior Authorization Programs Update - Effective February 4, 2021
December 2020
NOTICE! Medicaid Update Special Edition - Part One: Medicaid Pharmacy Carve-Out The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
November 2020
NOTICE! Attention: Pharmacies and DME, Prosthetics, Orthotics and Supply Providers, and Prescribers Not Enrolled in Medicaid Fee-for-Service (FFS) The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
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
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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