NYRx, the Medicaid Pharmacy Program

Notifications

Provider Notifications

Date	Title
10/28/24	NYRx, Medicaid Pharmacy Program Pharmacists as Immunizers Fact Sheet - Updated October 25, 2024
10/24/24	NYRx, Medicaid Pharmacy Program Vaccine Billing Guidance - NEW Update Effective October 24, 2024
10/18/24	NYRx, Medicaid Pharmacy Program Vaccine Billing Guidance - Effective October 24, 2024
10/11/24	NYRx allows 90-day Prescribing for Most Maintenance Medications and OTC Drugs
10/01/24	NYRx Pharmacy Reimbursement effective October 1, 2024
09/20/24	Blood Glucose Testing and Monitoring Changes - Effective October 1, 2024
08/21/24	Reminder: Pharmacy Providers Regarding Member Out-of-Pocket Costs
07/22/24	Important Communication: Unlicensed Interns, Residents & Foreign Physicians in Training Programs are Authorized Prescribers for Medicaid Members
07/02/24	NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective August 1, 2024
06/18/24	Pharmacy Providers Severe Weather Events
04/01/24	New York State Medicaid (NYRx) Coverage Policy and Billing Guidance for Pharmacist Dispensing of Self-Administered Hormonal Contraception
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

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