Repository

  • Pharmacy Benefit Transition
    • NYRx Pharmacy Benefit Transition: Part Three Special Edition - (Web), (Interactive PDF) or (Print-Ready PDF) – March 2023
    • NYRx Pharmacy Benefit Transition: Part Two Special Edition - (Web), (Interactive PDF) or (Print-Ready PDF) – January 2023
    • NYRx Pharmacy Benefit Transition: Part One Special Edition - (Web), (Interactive PDF), or (Print-Ready PDF) - October 2022
    • Medicaid Pharmacy Prior Authorization Programs Update & Practitioner Dispensing - (PDF) - January 2021
    • Attention: Pharmacies, Durable Medical Equipment, Prosthetics, Orthotics and Supply Providers, and Prescribers That Are Not Enrolled in Medicaid Fee-For-Service (Pg. 10) - (PDF) - October 2020

Member Materials

  • Member Fact Sheet: What You Need to Know - (PDF)
  • Dual Eligible Member Notice of Change - (PDF)
  • Member Notice of Change - (PDF)
  • Mailing Schedule for Member Notice of Change - (PDF)
  • Restricted Recipient Program (RRP) Member Notice - (PDF)

Pharmacy Benefit Transition

  • Pharmacy Checklist - (PDF) - Updated 03.15.2023
  • Pharmacy Quick Reference Guide - (PDF) - Updated 03.23.2023
  • Scope of Benefits - (Web) - (PDF) - Updated 7.11.2022
  • Transition and Communication Activities Timeline - (Web) - (PDF) - Updated 7.11.2022
  • 1557 Non-Discrimination and Language Services Templates - (PDF)
  • Frequently Asked Questions (FAQs) - (Web) - (PDF) - Updated - 3.17.2023
  • Roles & Responsibilities - (Web) - (PDF) Updated - 6.27.2022
Presentations from All Stakeholder Meetings:

Transition of the Pharmacy Benefit from Managed Care to NYRx:
Implementation Update

  • March 21, 2023 - (PDF)
  • February 21, 2023 - (PDF)
  • January 17, 2023 - (PDF)
  • December 20, 2022 - (PDF)
  • November 17, 2022 - (PDF)
  • October 18, 2022 - (PDF)
  • September 20, 2022 - (PDF) (Updated)
  • August 16, 2022 - (PDF)