NYRx, the Medicaid Pharmacy Program

Electronic prior authorizations are now accepted by NYRx, the Medicaid Pharmacy Program via CoverMyMeds®. Consider this alternative option as an effective and efficient way to request a PA other than by phone or by fax. For more information, contact NYRx Education & Outreach at NYRxEO@primetherapeutics.com.

Trainings

The NYRx E&O team hosts weekly live training webinars providing an overview of NYRx, the Medicaid Pharmacy Program.

Registration is required to join.

Prescriber webinar occurs on Mondays. View the calendar with upcoming dates and registration links.

Pharmacy webinar occurs on Wednesdays. View the calendar with upcoming dates and registration links.

NYRx, the Medicaid Pharmacy Program overview webinar occurs on Fridays. View the calendar with upcoming dates and registration links.

Each webinar is from 12:00 PM - 1:00 PM ET, excluding holidays. To receive an invitation to join a webinar, please send an email request to NYRxEO@primetherapeutics.com.

In addition, recorded sessions of NYRx E&O educational webinars are available on the NYRx E&O YouTube channel. To view a specific webinar or for a copy of the slides select from the list below.

• Brand Less Than Generic Program: webinar or slides
• Brand Less Than Generic (BLTG) FAQ
• Brand Less Then Generic (BLTG) Program Overview
• Clinical Criteria (CC): webinar or slides
• Cost Optimization Program Overview
• Dose Optimization Program: webinar or slides
• Dose Optimization (DO) Overview
• Drug Utilization Review (DUR) Program: webinar or slides
• Drug Utilization Review (DUR) FAQ
• Drug Utilization Review (DUR) Program Overview
• Preferred Drug Program/Preferred Drug List: webinar or slides
• Preferred Drug Program (PDP)/Preferred Drug List (PDL), FAQ
• Preferred Drug Program (PDP)/Preferred Drug List (PDL) Overview
• Frequency/Quantity/Duration (FQD) Overview
• Program Review Overview
• Step Therapy (ST): webinar or slides
• Step Therapy (ST) Overview

Office Hours

The NYRx E&O team hosts virtual support drop-in sessions daily during the week for stakeholders to hop in and ask questions when support is needed.

Managed Care Organization (MCO) Office Hours:

• Hosted via Teams, weekly on Monday and Wednesday, from 12:00 PM - 1:00 PM ET, excluding holidays.
• Join the MCO virtual support drop-in session.

Providers and Pharmacies Office Hours:

• Hosted via Teams, weekly on Tuesday and Thursday, from 12:00 PM - 1:00 PM ET, excluding holidays.
• Join the Providers and Pharmacies virtual support drop-in session.