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NYRx, the Medicaid Pharmacy Program Home

WebFor assistance with billing, please refer to guidance document at eMedNY. For provider inquiries pertaining to eligibility, Point of Service (POS), DVS, or Pharmacy …

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NYRx, the Medicaid Pharmacy Program Preferred Drug Program

WebFor billing questions, call 1-800-343-9000. For clinical concerns or Preferred Drug Program questions, visit newyork.fhsc.com or call 1-877-309-9493. For Medicaid …

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NYS Medicaid Preferred Drug Enrollee Brochure

WebNew York State Medicaid Preferred Drug Program A GUIDE FOR PEOPLE WITH MEDICAID What is the Medicaid Preferred Drug Program (PDP)?

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NYRx, the Medicaid Pharmacy Program Forms, Worksheets

WebWelcome to New York Medicaid Pharmacy Prior Authorization Programs Web site.

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NYRx, the Medicaid Pharmacy Program BLTGP

WebAbout. The Brand Less than Generic Program is a cost containment initiative which promotes the use of certain multi-source brand name drugs when the cost of the …

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What is the Generic Drug Program

WebNew York State Medicaid Generic Drug Program A GUIDE FOR PEOPLE WITH MEDICAID AND FAMILY HEALTH PLUS What is the Generic Drug Program? The law requires …

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Update to the NYS Medicaid Fee-for-Service (FFS) Preferred …

WebUpdate to the NYS Medicaid Fee-for-Service (FFS) Preferred Diabetic Supply Program Effective July 22 2021, the NYS Medicaid FFS Preferred Diabetic Supply …

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NYRx Preferred Diabetic Supply Program (PDSP) Fact Sheet

WebRevised 9/25/2023 NYRx Preferred Diabetic Supply Program (PDSP) Fact Sheet Background: On October 1, 2009, per Social Services Law Chapter 55, Article 5 Title 11, …

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NYS Medicaid Preferred Diabetic Supply Program Fact Sheet

WebRevised 09/15/17 NYS Medicaid Preferred Diabetic Supply Program Fact Sheet The New York State Medicaid Program participates in a Preferred Diabetic Supply Program …

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NYRx, the Medicaid Pharmacy Program MGDP

WebThe pharmacist may obtain a prior authorization for up to a three-day emergency supply of a brand name drug (subject to other State laws and Medicaid …

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Option to Bill Additional Medical Supply Products

Webprocedures commonly billed by pharmacies. Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) providers may contact: (800) 342-3005 …

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NYRx, the Medicaid Pharmacy Program Frequently Asked Questions

WebPrescribers should have their identifying information ready, as well as the enrollee's Medicaid ID number available. Prescribers should also be prepared to respond …

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Update to New York State Medicaid Coverage of Continuous …

WebUpdate to New York State Medicaid Coverage of Continuous Glucose Monitors Effective April 1, 2022, the NYS Medicaid FFS Preferred Diabetic Supply …

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NYRx, the Medicaid Pharmacy Program palivizumab (Synagis®)

WebPalivizumab (Synagis®) Prior Authorization Call Line: 1-877-309-9493. Prior Authorization Fax Line: 1-800-268-2990. Prior Authorization for Synagis® has been implemented to …

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Drug Coverage for New York State Medicaid Dual Eligible …

WebDrug Coverage for New York State Medicaid Dual Eligible Members Effective October 22, 2020, Medicaid will implement claims editing that will ensure over-the- …

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NYRx, the Medicaid Pharmacy Program Preferred Diabetic Supply …

WebTitle. 02/08/22. Preferred Diabetic Supply Program Update. 06/28/21. Preferred Diabetic Supply Program Update. Welcome to New York Medicaid Pharmacy Prior …

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NYRx Prior Authorization Submission Guide

Webo A provider or their authorized agent may request a prior authorization by phone by calling the NYRx Clinical Call Center at 1-877-309-9493 to initiate a prior …

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New York State Medicaid Enteral Prior Authorization – …

WebThe ordering prescriber can access the Enteral Authorization portal or use the telephonic interactive voice response (IVR) system, 1-866-211-1736 to enter medical …

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Fax is form toth 1-800-268-2990 **Requests are responded to …

WebNYRx, the Medicaid Pharmacy Program. Prescription Prior Authorization Request Form. Fax this form to 1-800-268-2990 For questions call 877-309-9493. **Requests are responded …

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Implementation of Claims Editing for …

WebPhysicians and other healthcare professionals ordering/referring services provided under the state plan or under a waiver of the state plan must enroll in Medicaid. The order or …

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Matching Origin Codes to Correct Prescription Serial Number …

WebMatching Origin Codes to Correct Prescription Serial Number in Medicaid Fee-for-Service (FFS) Reminder: The appropriate serial number is required when billing …

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