SFY 2019 - 2020 Medicaid Drug Cap Webinar FAQs

  • FAQs also available in Portable Document Format (PDF)
1. How does Medicaid define "High Cost Drugs"?

Medicaid identifies high cost drugs, per the criteria found on Slide #6 in the power point presentation dated 08.30.19.

2. Is there any form of independent evaluation planned to assess the outcomes of New York´s Drug Cap policies?

Currently there is no independent evaluation planned to assess the outcomes of New York´s Medicaid Drug Cap, beyond the financial evaluations which are included in the power point presentations found here. The Department has been approached informally by independent research groups but has not received any formal proposal to date.