NYRx, the Medicaid Pharmacy Program

Notifications

Electronic PA Requests

Beginning Summer 2025, NYRx, the Medicaid Pharmacy Program, will accept electronic PA requests via CoverMyMeds®. For more information, reach out to NYRxEO@primetherapeutics.com.

Notifications

Provider Notifications

Date	Title
03/27/25	Discontinued Drug Coverage for Terminated Labelers per Medicaid National Drug Rebate Agreement
03/06/25	Notice for Upcoming Over-The-Counter Coverage Changes
01/23/25	Important Communication: Unlicensed Interns, Residents & Foreign Physicians in Training Programs are Authorized Prescribers for Medicaid Members
01/09/25	New York State Pharmacy Coverage for Coronavirus Vaccines for Members Eligible for the Vaccines for Children (VFC) Program
01/07/25	NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective February 6, 2025
01/01/25	NYRx Preferred Diabetic Supply Program Update: LifeScan Products
12/23/24	Discontinued Drug Coverage for Terminated Labelers per Medicaid National Drug Rebate Agreement
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

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