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NYRx, the Medicaid Pharmacy Program

Notifications

Notifications

Provider Notifications
Date Title
12/20/23 New York State Medicaid (NYRx) Policy of Commercially Acquired COVID-19 Oral Antivirals
12/19/23 UPDATE: Medicaid Coverage for the 2023-2024 COVID-19 Vaccines for Pharmacy Providers Not Enrolled in the Vaccines for Children (VFC) Program
11/29/23 New York State (NYS) Medicaid Pharmacy Policy and Billing Guidance for At Home COVID-19 Testing Coverage
11/16/23 NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective December 14, 2023
10/30/23 UPDATE: Long-Term Care Pharmacies New Patient and Leave of Absence
10/26/23 Reminder: Pharmacy Provider Options Available for the COVID-19 and Influenza 2023-2024 Vaccine Season
10/20/23 Pharmacy Billing Guidance for Brand Name Drugs with New Generic Launches
09/20/23 New York State Medicaid Coverage Policy and Billing Guidance for Pharmacy Providers for the 2023-2024 COVID-19 Vaccines
08/29/23 New York State Medicaid Coverage of Respiratory Syncytial Virus (RSV) Vaccines
08/22/23 Pharmacy Billing Exceptions for Non-Enrolled Prescribers in NY Medicaid
08/21/23 NYRx, the New York State Medicaid Pharmacy Program Pharmacists as Immunizers Fact Sheet
07/01/23 Medicaid Drug Rebate Program Updates for July 1st, 2023
06/29/23 NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective August 3, 2023
06/29/23 Prior Authorizations for Medical Supplies
06/23/23 Important Information: Coordination of Benefit (COB) Reversals with Other Coverage Code (OCC) value “4”
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
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