Home | Site Map | Contact Us

NYS Medicaid Pharmacy Prior Authorization Programs

Home

Current Pharmacy Programs and Updates

Recent Pharmacy News

August 2018
Pharmacy Update on the Dose Optimization Program
https://www.health.ny.gov/health_care/medicaid/program/update/2018/2018-08.htm#doseopt

July 2018
Changes to Medicaid FFS Pharmacy PA Programs Implemented August 2, 2018
https://www.health.ny.gov/health_care/medicaid/program/update/2018/2018-07.htm#priorauth

January 2018
Changes to Medicaid FFS Pharmacy Reimbursement Implemented February 22, 2018
https://www.health.ny.gov/health_care/medicaid/program/update/2018/2018-01.htm#reimburse

January 2018
Medicaid FFS Pharmacy Change in Early Fill Edit for Controlled Substances
https://www.health.ny.gov/health_care/medicaid/program/update/2018/2018-01.htm#earlyfill

November 2017
Authorized Agents for Prior Authorizations of Prescription Drugs
https://www.health.ny.gov/health_care/medicaid/program/update/2017/2017-11.htm#pa

Access additional Medicaid Update articles.

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.

Sign up to receive e-mail notifications on New York Medicaid Pharmacy Prior Authorization program changes.

Get Adobe Reader

You will need Adobe® Reader to view any printable PDF document(s).
Click the button to the left to download a free copy of Adobe® Reader.