NYRx, the Medicaid Pharmacy Program

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

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

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

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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NYRx, the Medicaid Pharmacy Program

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