NYRx, the Medicaid Pharmacy Program

Notifications

Provider Notifications

Date	Title
05/30/23	Update to Pharmacy Dispensing of Non-Prescription Orders
05/30/23	NYRx Claim Submissions – Top Edit Resource (updated 5/30/2023)
05/26/23	Update to New York State Medicaid Fee-for-Service Pharmacy Billing Instructions for Coordination of Benefits Submission
05/17/23	NYRx Claim Submissions - Top Edit Resource
05/08/23	Important Information Regarding Electronic Claims Capture and Adjudication (ECCA) for Pharmacy Providers
05/05/23	NYRx Claim Submissions - Coordination of Benefits & Workers Compensation Coverage
03/31/23	Reminder Notice Regarding Origin Codes and Serial Numbers
03/27/23	Medicaid Pharmacy Prior Authorization Programs Update (Spinraza®) - Effective April 27, 2023
03/27/23	Medicaid Pharmacy Prior Authorization Programs Update (Evrysdi®) - Effective April 27, 2023
03/22/23	Prescriber letter: Overview of Pharmacy Benefit Transition from Managed Care to NYRx, the Medicaid Pharmacy Program - UPDATE
03/17/23	Pharmacy Billing Guidance Exceptions for Non-Enrolled Prescribers in Medicaid - UPDATE
03/17/23	Revised: Option to Bill Additional Medical Supply Products
03/16/23	Option to Bill Additional Medical Supply Products
03/15/23	Prescriber letter: Overview of Pharmacy Benefit Transition from Managed Care to NYRx, the Medicaid Pharmacy Program
02/17/23	Additional Option Available to Now Bill Select Syringe and Diabetic Supply Products
12/21/22	Pharmacy Billing Guidance Exceptions for Non-Enrolled Prescribers in Medicaid
11/08/22	Policy and Billing Guidance for Pharmacy Reimbursement of COVID-19 Oral Antivirals as of November 8, 2022
10/31/22	Retroactive Lump Sum Payment for the Increased Pharmacy Dispensing Fee
10/18/22	Medicaid Pharmacy Prior Authorization Programs Update - Effective November 17, 2022
09/21/22	Pharmacy Professional Dispensing Fee Update Effective September 22, 2022
09/21/22	New York State Medicaid Policy and Billing Guidance for Pharmacy Reimbursement of COVID-19 Oral Antivirals
09/21/22	New York State Medicaid Pharmacy Coverage of Polio Vaccine Effective September 9, 2022 through October 9, 2022
08/23/22	Practitioner Administered Drug Update: New York State Medicaid Fee-for-Service Policy Guidance for esketamine (SPRAVATO®) nasal spray
07/11/22	Medicaid Pharmacy Prior Authorization Programs Update - Effective August 11, 2022
05/24/22	Attention: The Utilization Threshold Program has been revised effective July 1, 2022
02/15/22	Updated Guidance: Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists
02/08/22	Preferred Diabetic Supply Program Update
02/07/22	Medicaid Pharmacy Prior Authorization Programs Update - Effective March 22, 2022
01/14/22	Attention Pharmacy Providers - Important Information Regarding Inhaled Corticosteroids in Children
11/22/21	Clozapine Risk Evaluation and Mitigation Strategy (REMS) Certain Program Requirements Temporarily Suspended
10/15/21	Attention Medicaid Fee-for Service (FFS) Providers: Brand Less than Generic Update-Suboxone Film
10/07/21	Clozapine Risk Evaluation and Mitigation Strategy Requires Providers and Pharmacies to Re-certify/Re-enroll Patients by November 15, 2021
10/04/21	Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists - New Information
09/29/21	Medicaid Pharmacy Prior Authorization Programs Update - Effective October 28, 2021
09/22/21	Clozapine Risk Evaluation and Mitigation Strategy Requires Providers and Pharmacies to Re-certify and Re-enroll Patients by November 15, 2021

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.