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NYRx, the Medicaid Pharmacy Program Preferred Drug Program

For 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 pharmacy …

Actived: 8 days ago

URL: https://newyork.fhsc.com/providers/PDP_about.asp

NYRx, the Medicaid Pharmacy Program Home

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: …

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NYRx, the New York Medicaid Pharmacy Program

Neurontin® (gabapentin) – PA required for initiation of gabapentin at > 900 mg per day in patients currently on an opioid at > 50 MME per day. Stiripentol (Diacomit®) – Require diagnosis of …

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NYRx, the Medicaid Pharmacy Program Education & Outreach

Complex care coordination for populations such as HIV/AIDS, Hemophilia, Foster Care children, Serious Mental Illness, Substance Use Disorder, and Hepatitis C. To contact …

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NYRx, the Medicaid Pharmacy Program MGDP

The 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 restrictions) by …

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What is the Generic Drug Program

New 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 doctors to …

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

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

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Update to New York State Medicaid Coverage of Continuous …

Update to New York State Medicaid Coverage of Continuous Glucose Monitors Effective April 1, 2022, the NYS Medicaid FFS Preferred Diabetic Supply Program (PDSP) will …

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Attention: Pharmacies Durable Medical Equipment, …

Important: Medicare enrollment as Participating Providers (accepting payment for Part B) is prerequisite in order to qualify for pharmacy or DMEPOS enrollment as billing …

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NYS Medicaid Preferred Diabetic Supply Program DME Billing …

To request a hard copy of the PSL please call (518) 951-2051 or email [email protected]. Claims for preferred blood glucose monitors and test strips do …

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NYRx, the Medicaid Pharmacy Program palivizumab (Synagis®)

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

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Medicaid Pharmacy Guidance Regarding the End of the …

• As of June 2021, there are no reported drug shortages. Therefore, on June 17, 2021, prior authorization requirements were reinstated for drugs previously reported in

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Medicaid Fee-for-Service (FFS) Coverage of Topical …

Medicaid Fee-for-Service (FFS) Coverage of . Topical Compounded Drug Products . Effective November 28, 2018, based on a previous Drug Utilization Review Board (DURB) …

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NYS Medicaid FFS Program Naloxone Coverage through a …

NYS Medicaid FFS Program Naloxone Coverage through a Non-Patient Specific (Standing Order) Prescription Per NYS Public Health Law (Article 33, Title 1, Section …

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NYS Medicaid Enteral Prior Authorization – Prescribers, DME …

The NYRx Education & Outreach Call Center is available by phone at 833-967-7310 from 8:00 AM to 5:00 PM ET, Monday through Friday, excluding holidays, or by email at …

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Matching Origin Codes to Correct Prescription Serial Number …

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

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

NYRx, 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 to within …

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*Program Update* NYRx Providers Dispense Brand Name …

Empire State Plaza, Corning Tower, Albany, NY 12237│health.ny.gov *Program Update* NYRx Providers Dispense Brand Name Drug when Less Expensive than

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Option to Bill Additional Medical Supply Products

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) providers may contact: (800) 342-3005 or email: [email protected]

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NY PDP Fax Worksheet – Regranex®

PA Worksheet: Regranex® NEW YORK STATE MEDICAID PHARMACY PA PROGRAMS. Regranex® Prior Authorization (PA) Worksheet. Fax Number: 1-800-268-2990. New York …

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Implementation of Claims Editing for …

21 | P a g e July 2013 New York State Medicaid Update OPRA Pharmacy-Related Frequently Asked Questions 1. Why do non-billing physicians and healthcare professionals need to enroll …

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NYRx Prior Authorization Submission Guide

o Prescribers or their authorized agents may submit a standard prior authorization fax form or drug-specific worksheet by fax to (800) 268-2990. o Fax requests are responded to …

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