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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)
Single Statewide Medication Assisted Treatment (MAT) Formulary
SMAC Program
Recent Pharmacy News
May 2022
Attention: The Utilization Threshold Program has been revised effective July 1, 2022
February 2022
Updated Guidance: Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists
Medicaid Pharmacy Prior Authorization Programs Update - Effective March 22, 2022
November 2021
October 2021
Attention Medicaid Fee-for Service (FFS) Providers: Brand Less than Generic Update-Suboxone Film
Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists - New Information
September 2021
Medicaid Pharmacy Prior Authorization Programs Update - Effective October 28, 2021
Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists - Effective October 1, 2021
July 2021
Medicaid Pharmacy Prior Authorization Programs Update - Effective August 26, 2021
June 2021
Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of June 2021
May 2021
Medicaid Pharmacy Prior Authorization Program Updates – Effective June 24, 2021
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
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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