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NYS Medicaid Pharmacy Programs

Notifications

Notifications

Provider Notifications
Date Title
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
09/01/21 Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists - Effective October 1, 2021
08/20/21 Mosquito Repellent Coverage Update
07/22/21 Medicaid Pharmacy Prior Authorization Programs Update - Effective August 26, 2021
07/08/21 Medicaid Pharmacy Guidance Regarding the End of the Declared Disaster Emergency in the State of New York - COVID-19
06/28/21 Preferred Diabetic Supply Program Update
06/10/21 Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of June 2021
05/26/21 Medicaid Pharmacy Prior Authorization Program Updates – Effective June 24, 2021
04/15/21 Attention All Providers: The Pharmacy Carve-Out Has Been Delayed by Two Years, until April 1, 2023
04/01/21 Medicaid Pharmacy Prior Authorization Programs Update - Effective April 22, 2021
03/26/21 Medicaid Update Special Edition - Part Two: Medicaid Pharmacy Carve-Out The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
03/22/21 Targeted Letter to High Volume BLTG Pharmacies The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
03/16/21 Attention: COVID-19 Vaccine Administration Billing Guidance for Managed Long-Term Care Members without Medicare Coverage
03/15/21 Targeted Letter to High Volume Prescribers of Non-preferred Products The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
02/19/21 New York State (NYS) Medicaid Fee-for-Service (FFS) Policy and Billing Guidance for COVID-19, Influenza and RSV Testing and Specimen Collection at Pharmacies as of 02/18/2021
01/07/21 Medicaid Pharmacy Prior Authorization Programs Update - Effective February 4, 2021
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