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NYRx, the Medicaid Pharmacy Program
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Electronic PA Requests
Electronic prior authorizations are now accepted by NYRx, the Medicaid Pharmacy Program via CoverMyMeds®. Consider this alternative option as an effective and efficient way to request a PA other than by phone or by fax. For more information, contact NYRx Education & Outreach at NYRxEO@primetherapeutics.com.
Current Pharmacy Programs and Updates
For provider inquiries pertaining to eligibility, Point of Service (POS), DVS, or Pharmacy claims:
eMedNY Call Center 1-800-343-9000
7:00 a.m. - 10:00 p.m., Eastern Time, Monday through Friday (excluding holidays)
8:30 a.m. - 5:30 p.m., Eastern Time, Holidays and Weekends
Preferred Drug Lists (PDL)
Preferred Drug Quick List
Preferred Drug Program
Brand Less Than Generic Program
Dose Optimization Initiative
Drug Utilization Review Board (DURB) Recommendations
Preferred Diabetic Supply Program
Single State Supplemental Rebate Agreements (SRAs) for Preferred Anti-Retrovirals (ARVs)
NYRx Medication Assisted Treatment (MAT) Formulary
SMAC Program
Recent Pharmacy News
January 2025
NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective February 6, 2025
July 2024
NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective August 1, 2024
November 2023
NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective December 14, 2023
Prior Authorization Resources
To obtain a prior authorization call (877) 309-9493 or fax the appropriate Prior Authorization form to (800) 268-2990. The clinical call center is available 24 hours a day, 7 days per week.
PAXpress is a web-based application available for initiating prior authorization requests.
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