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Medicaid Pharmacy Co-Payment Changes
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Effective July 1, 2008, co-payments for "preferred" brand name prescription drugs will be reduced from three dollars ($3.00) to one dollar ($1.00). Co-payments for all other brand name, generic and over-the counter drugs remain unchanged.

Important Notice:
The eMedNY point-of-service (POS) claims system will temporarily continue to deduct a co-payment amount of $3.00 for "preferred" brand name prescription drugs after the July 1, 2008 effective date. Pharmacies are asked to only collect $1.00 from the patient for "preferred" brand name prescription drugs until the adjustment is made to the eMedNY POS claims system. It is anticipated that the co-payment adjustment to the claims system will take place by October 1, 2008. Prescriptions for brand-name drugs affected by the change and processed during this interim period will automatically be reprocessed by Computer Sciences Corporation. Reprocessed claims will result in pharmacies being reimbursed for the $2.00 difference in the co-payment amount not included in the original claim transaction.

Posted: 6/30/2008
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