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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 assistance with billing, please refer to guidance document at eMedNY
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

Recent Pharmacy News

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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