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NYS Medicaid Pharmacy Prior Authorization Programs

Providers • CDRP • Worksheets

• Programs
  • Brand Less Than Generic Program (BLTG)
  • Clinical Drug Review Program (CDRP)
  • Mandatory Generic Drug Program
  • Preferred Diabetic Supply Program
  • Preferred Drug Program (PDP)
  • Single State SRAs for Preferred ARVs
  • SMAC Information
• Resources
  • DOH Medicaid Pharmacy Programs
  • DOH Medicaid Update Index
  • Drug Utilization Review Board (DURB)
  • eMedNY formulary file
  • Forms, Worksheets & References
  • Frequently Asked Questions (FAQs)
  • Notifications
  • PAXpress
  • PDP/CDRP Annual Reports
  • Preferred Drug List (PDL)

Worksheets