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| Site Map | Contact Us NYRx, the Medicaid Pharmacy Program Home Programs Brand Less Than Generic Program (BLTG) Clinical Drug Review Program (CDRP) Mandatory Generic Drug Program Preferred Diabetic Supply Program Preferred Drug Program (PDP) Single State SRAs for Preferred ARVs NYRx Medication Assisted Treatment (MAT) Formulary SMAC Information Resources DOH Medicaid Pharmacy Programs DOH Medicaid Update Index Drug Utilization Review Board (DURB) eMedNY formulary file Forms, Worksheets & References Frequently Asked Questions (FAQs) Notifications PAXpress PDP/CDRP Annual Reports Pharmacy Benefit Transition from Managed Care to NYRx Preferred Drug List (PDL) Preferred Drug Quick List Education & Outreach Current Pharmacy Programs and Updates We are experiencing higher than normal call and fax volume. Prescribers should not send in duplicative PA requests to NYRx. Only one submission is necessary.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 List 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 November 2023 NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective December 14, 2023 June 2023 NYRx Medicaid Pharmacy Prior Authorization Programs Update - Effective August 3, 2023 May 2023 NYRx Claim Submissions - Top Edit Resource (updated 5/30/2023) NYRx Claim Submissions - Top Edit Resource March 2023 Medicaid Pharmacy Prior Authorization Programs Update (Spinraza®) - Effective April 27, 2023 Medicaid Pharmacy Prior Authorization Programs Update (Evrysdi®) - Effective April 27, 2023 NYRx Pharmacy Benefit Transition Special Edition - Part Three Volume 39 - Number 5 February 2023 January 2023 NYRx Pharmacy Benefit Transition Part Two: Special Edition Volume 39 - Number 1 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 . Sign up to receive e-mail notifications on changes to NYRx, the Medicaid Pharmacy Program . You will need Adobe® Reader to view any printable PDF document(s). Click the button to the left to download a free copy of Adobe® Reader. Privacy Policy | Terms of Use | Nondiscrimination Policy © 1999-2024 Magellan Rx Management, LLC. All Rights Reserved. Español | 繁體中文 | Русский | Kreyòl Ayisyen | 한국어 | Italiano | אידיש | বাংলা | Polski | العربية | Français | اُردُو | Tagalog | λληνικά |...