Legend . English. Child Health Plus Plan Formulary. New York Medicaid Medicaid-Approved Preferred Drug List. Only those prescription and non-prescription drugs which appear on the list are reimbursable under the fee-for-service Medicaid Pharmacy Program.This zip file contains eight pipe delimited text files and creates the following output files:
In each class, drugs are listed alphabetically by either brand name or generic name. Essential Plan Formulary. New York Community Office Locations ... View and download our comprehensive and up-to-date prescription drug list below. Only those prescription and non-prescription drugs which appear on the list are reimbursable under the fee-for-service Medicaid Pharmacy Program. Attention Prescribers: Revised: September 10, 2020 NYS Medicaid Fee-For-Service Preferred Drug List 1 = Preferred as of 10/8/2020 Standard PA fax form: 2 = Non-Preferred as of 10/8/2020 Medicaid Preferred Drug List and Managed Care Plan Information. Information on upcoming board activities is posted on the web thirty days prior to each meeting. Leaf Premier Plan Formulary. Generic drug: Lowercase in plain type . The following resources are provided to assist those who are in need of more information about NYS Medicaid pharmacy benefits and Managed Care plans: Summary of Medicaid Preferred Drug and Managed Care Pharmacy Benefit ; New York State (NYS) Medicaid Preferred Drug List NEW YORK STATE DEPARTMENT OF HEALTH 09/10/2020 PAGE: 1 LIST OF MEDICAID REIMBURSABLE DRUGS RX TYPE: 01 PRICING ERRORS ARE NOT REIMBURSABLE PRICES EFFECTIVE 09/10/2020 ... PA code "G" = PA required for Non Preferred drugs OR drugs not meeting clinical criteria (FQD, STEP) OR drugs in Clinical Drug Review Program, the Brand Less than … Leaf Plan Formulary. © 1999-2020 Magellan Health, Inc. All Rights Reserved. The full list of reimbursable drugs may be viewed online or downloaded, using the link provided below. Effective August 1, 2020. The Department of Health has contracted with Magellan Medicaid Administration, Inc. to assist with management of the PDP. English. Brand name drug: Uppercase in bold type . This page contains drug information from the pharmacy file. This page contains drug information from the pharmacy file. The Preferred Drug Program (PDP) promotes the use of less expensive, equally effective prescription drugs when medically appropriate. The Preferred Drug List (PDL) contains a full listing of drugs/classes subject to the New York State Medicaid Fee-or-Service Pharmacy Programs Prior Authorization The PDP prior authorization process features a staffed call center which is available 24 hours a day, 7 days per week. English. English. All drugs currently covered by Medicaid remain available under the PDP and the determination of preferred and non-preferred drugs does not prohibit a prescriber from obtaining any of the medications covered under Medicaid.DURB meetings are held in a public forum. 2020; Individual and Family Plans. Formulary Status; Copay List; Age Limit Coverage; Gender Limit; Prior Auth Coverage;
Quantity Limit Coverage; Text Message Coverage; Cross Reference The full list of reimbursable drugs may be viewed online or downloaded, using the link provided below. Public testimony and submission of information on drug classes to be discussed is encouraged.