Covered Drugs, Preferred Drugs and Covered Supplies in the NY Medicaid Pharmacy Program (Medicaid FFS)
Covered Prescription and Over-the Counter Drugs
- The NY Medicaid Pharmacy Program (FFS) has a list of covered drugs, which include over-the-counter drugs. Visit the member tools for the full list of covered drugs.
Preferred Drugs
- The NY Medicaid Pharmacy Program (FFS) also has a preferred drug list, which is available online.
- If you need a drug that is listed as a non-preferred drug, Medicaid will allow a one-time only fill of this drug from April 1, 2023 through June 30, 2023. The one-time fill will be up to a 30-day supply.
- If you need a non-preferred drug, your doctor can ask Medicaid for approval to let you get the drug or change to a drug that is preferred, or your pharmacist can talk to your doctor about this.
Covered Supplies
- Your pharmacy benefit also covers certain supplies. Visit the member tools for the list of covered supplies found in the Medicaid Pharmacy Manual.
Note: On this page, you must click on "Search for Covered OTC Products and Supplies" - A list of preferred diabetic meters and test strips is available online.
- Medicaid will allow a one-time only fill from April 1, 2023 through June 30, 2023 for non-preferred test strips.
- You will need to change to a preferred diabetic meter and test strips.
Copayments
- The Medicaid copayment structure is not changing. Your copayment might change depending on if the drug is preferred or non-preferred (see "Preferred Drugs" section above).
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