NYS Medicaid Resources

NYSDOH Medicaid Homepage

• Search Prescription Drug Prices in NYS
• Medicaid Pharmacy Program page
• Medicaid Pharmacy & Therapeutics Committee
• Medicaid Fees

NYS Medicaid PDP Information:

• Click Here for the First Health NYS Preferred Drug Program Home Page
• Click Here for the NYS Medicaid Preferred Drug List
• PDP Prior Authorization Forms/Worksheets

From EMedNY

• Pharmacy Provider Manual - this page includes among other things the OTC and Supply Fee Schedule (XLS 74KB), Fee Schedule Column Descriptions (PDF 20KB), List of OTC Categories and Supply Codes (PDF 328KB), Billing Guidelines (PDF 1.23MB), Medicaid List of Reimbursable Drugs (Formulary File), Preferred Diabetic Supply List (PDSL)
• Formulary File (Medicaid Reimburseable Drugs)
  SMAC Research Request Form
• Pharmacy Enrollment Packet - pages 19-21 are the Medicaid Enrollment: Supervising Pharmacist Form (emedny-409701) and instructions - please read the instructions on pages 17 & 18 carefully as some of the requirements have changed!!!
• Provider Maintanance Forms page - located on this page are the Supervising Pharmacist Agreement, Pharmacy Personal Identification Number Form as well as many other forms including the Electronic Prior Approval Form.
• OTC and Supply Fee Schedule
• OTC Categories & Supply Codes
• Preferred Diabetic Supply List
• MEVS Quick Reference Guides
• Profession Codes for Medicaid License Number for Phase II - How to send a License Number as a Provider Identifier
• DOH Monthly Medicaid Updates
• Provider Telephone Quick Reference Guide
• Posting Provider List
• Disqualified Provider List
• NYSDOH Medicaid HIPAA Open Trading Partner Information Resource