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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
September 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
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
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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