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NYS Medicaid Pharmacy Prior Authorization Programs

Providers • CDRP • Drugs • emtricitabine/tenofovir disoproxil fumarate (Truvada®)

emtricitabine/tenofovir disoproxil fumarate (Truvada®)

Prior Authorization Call Line: 1-877-309-9493

Prior Authorization Fax Line: 1-800-268-2990

Prior authorization of Truvada® has been implemented to reinforce appropriate use and to ensure utilization consistent with approved indications. Requests for prior authorization of Truvada® can be initiated by either prescribers or their authorized agents. An authorized agent is an employee of the prescribing practitioner and has access to the patient's medical records (i.e. nurse, medical assistant).

The following is general information about Truvada® prior authorization requirements:

  • Effective February 21, 2013, all prescriptions for Truvada® for Pre-Exposure Prophylaxis (PrEP) must be prior authorized under the Clinical Drug Review Program (CDRP).
  • Prescribers or authorized agents are required to respond to a series of questions that identify the prescriber, the patient and the reason for prescribing Truvada®.
  • The Truvada Prescriber Worksheet and Instructions can be used to complete the prior authorization process for Truvada® for PrEP.