New York State Medicaid Pharmacy Fee-For-Service Program
An Overview and Reference Guide for Medicaid Managed Care Plans
- Presentation is also available in Portable Document Format (PDF)
New York State Medicaid Pharmacy Program
- Coverage/Plan Design, Rules and Limitations
- Pricing
- Pharmacy Network
- Utilization Management Programs
New York State Medicaid Pharmacy Program
Coverage Determination
- Covers all FDA approved drugs made by manufacturers that have signed rebate agreements with CMS.
- Nearly all prescription drugs and certain non–prescription drugs are covered.
- Prescription drugs require a prescription order.
- Non–prescription drugs require a fiscal order.
- Certain drugs/drug categories require prescribers to obtain prior authorization.
- Insulin, diabetic supplies, certain medical supplies, hearing aid batteries and enteral formulas are also covered.
- References:
Exclusions
- Amphetamine and amphetamine–like drugs which are used for the treatment of obesity
- Drugs whose sole clinical use is the reduction of weight;
- Drugs used for cosmetic purposes
- Any item marked “sample” or “not for sale”
- Any contrast agents, used for radiological testing (these are included in the radiologist’s fee)
- Any drug which does not have a National Drug Code
- Drugs packaged in unit doses for which bulk product exists
- Any drug regularly supplied to the general public free of charge must also be provided free of charge to Medicaid beneficiaries
- Any controlled substance stamped or preprinted on a prescription blank
- Drugs used for the treatment of erectile dysfunction
- Drugs used to promote fertility
- Drugs or supplies used for gender reassignment
New York State Medicaid Pharmacy Program
Plan Limitations/Coverage Rules
- Prescriptions/fiscal orders are valid for six (6) months from the date written.
- An original prescription/fiscal order cannot be filled more than sixty (60) days after the it was date written.
- Controlled substances are valid for 30 days from the date written.
- Up to a 30–day supply is allowed, unless otherwise specified.
- Smoking cessation therapy is limited to two courses of treatment per year.
- Emergency contraception is limited to 6 courses of therapy in any 12–month period (prescription and OTC).
New York State Medicaid Pharmacy Program
Pricing
Reimbursement |
Copayments |
|
Ingredient Cost |
Dispensing Fee |
Fee–for–Service* |
Family Health Plus** |
Brand Name Drugs |
Lower of AWP– 17% or U&C*** |
$3.50 |
$3.00 $1.00 (Preferred) |
$6.00 |
Generic Drugs |
Lower of SMAC, AWP – 25%, FUL or U&C |
$3.50*** |
$1.00 |
$3.00 |
OTCs |
SMAC |
N/A |
0.50 |
0.50 |
Medical Supplies |
Cost plus 25–50%, as determined by the Department |
N/A |
$1.00 |
N/A |
Hearing Aid Batteries |
Cost plus 25–50%, as determined by the Department |
N/A |
$1.00 |
$1.00 |
Enteral Formula |
Acquisition Cost plus 30% |
N/A |
$1.00 |
$1.00 |
Diabetic Supplies |
WAC +10% |
N/A |
$1.00 |
$1.00 |
*Annual Copayment Limit for FFS is $200 [calculated on a SFY basis (April 1– March 31)
**Family Health Plus does not have a maximum copayment.
*** Will be systematically applied 8/25/2011, and retroactive to 4/1/2011. Previously, brand reimbursement was AWP–16.25% and generic dispensing fee was $4.50
Copayment Exemptions |
Medicaid Fee–for–Service |
Family Health Plus |
Birth control pills, Plan B and condoms |
Prescription birth control and Plan B |
FDA approved drugs to treat tuberculosis |
Same |
FDA approved drugs to treat mental illness (psychotropic drugs) |
Same |
Enrollees younger than 21 years old |
Same |
Enrollees during pregnancy and for two months after the month in which the pregnancy ends |
Same |
Residents of Adult Care Facilities licensed by the NY State Department of Health |
Same |
Residents of nursing homes |
Permanent residents of nursing homes or community based residential facilities |
Residents of Intermediate Care Facilities for the Developmentally Disabled (ICF/DD) |
Same |
Residents Adult Care Facilities licensed by DOH or Office of Mental Health (OMH) and Office for People With Developmental Disabilities (OPWDD) certified community residences |
Residents of the Office of Mental Health (OMH); Residential Care Centers for Adults (RCAA); and Family Care Homes (FC), but not adult homes |
Enrollees in Comprehensive Medicaid Care Management (CMCM) or Service Coordination Programs |
Same |
Enrollees in OMH or OPWDD Home and Community Based Services (HCBS) Waiver Programs |
Same |
Enrollees in a DOH HCBS Waiver Program for Persons with Traumatic Brain Injury (TBI) |
Same |
New York State Medicaid Pharmacy Program
Pharmacy Network
- Open Network
- Office of Medicaid Inspector General responsible for credentialing and audit
New York State Medicaid Pharmacy Program
Utilization Management Programs
- Preferred Drug Program (PDP) – Promotes access to the most effective prescription drugs while reducing costs, through the use of a Preferred Drug List
- Enables supplemental rebate collection
- Non–Preferred Drugs require Prior Authorization
- Clinical Drug Review Program (CDRP) – Prior Authorization is required for certain drugs due to concerns related to safety, public health or the potential for significant fraud, abuse or misuse
- Mandatory Generic Program – Excludes coverage for brand name drugs when the FDA has approved an A–rated generic equivalent, unless a prior authorization is received
- Brand Less than Generic Program – Promotes the use of multi–source brand name drugs when the cost of the brand name drug is less expensive than the generic.
- Drug Utilization Review (DUR) Program
- Preferred Diabetic Supply Program
- Covers blood glucose monitors and test strips provided by pharmacies and durable medical equipment providers through the use of a Preferred Supply List.
- Enables rebate collection
- Pharmacists as Immunizers
- Provides coverage for the administration of select vaccines by qualified pharmacists
- Medication Therapy Management (MTM)
- Pilot Program in the Bronx
- Utilization Thresholds
- Limits the number of certain medical and pharmacy services per benefit year unless additional services have been approved
- Pharmacy and Therapeutics Committee (P&TC) makes preferred or non–preferred recommendation based on clinical review first, and then cost.
- The Preferred Drug List contains 90+ therapeutic drug classes.
- Non–Preferred Drugs require Prior Authorization (with limited exceptions).
- Prior Authorizations are valid for up to 6 months (Maximum 5 refills).
- The prescriber prevails provision applies.
- Four classes of drugs; atypical anti–psychotics, anti–depressants, anti–rejection drugs used for the treatment of organ and tissue transplants and anti–retroviral drugs used in the treatment of HIV/AIDS, were previously excluded from the prior authorization process. MRT 15H removed this exemption.
- References:
- Certain drugs require prior authorization because there may be specific safety issues, public health concerns, the potential for fraud and abuse or the potential for significant overuse and misuse.
- The prescriber prevails provision applies.
- Most prior authorizations are valid for up to 6 months
- Drugs currently included:
- becaplermin gel (Regranex®) – No refill
- fentanyl mucosal agents (Actiq® or Fentora®) – No refill
- lidocaine patch (Lidoderm®)– Maximum 2 refills
- linezolid (Zyvox®)– No refill
- palivizumab (Synagis®)– Off season or > 2 years of age– No refill
- sildenafil citrate (Revatio®)– Maximum 5 refills
- sodium oxybate (Xyrem®)– No refill for initial request– then maximum 2 refills
- somatropin (Serostim®)– No refill
- tadalafil (Adcirca®) – Maximum 5 refills
- References
- Excludes coverage for brand name drugs when the FDA has approved an equivalent generic product, unless a prior authorization is received
- Prior Authorizations are valid for up to 6 months (Maximum 5 refills).
- The prescriber prevails provision applies.
- Exemptions:
- Clozaril®
- Coumadin®
- Dilantin®
- Gengraf®
- Lanoxin®
- Levothyroxine Sodium (Unithroid®, Synthroid®, Levoxyl®)
- Neoral®
- Sandimmune®
- Tegretol®
- Zarontin®
- Promotes the use of multi–source brand name drugs when the cost of the brand name drug is less expensive than the generic.
- Drugs Included:
- ☐ Adderall XR
- ☐ Aricept 5mg, 10mg ODT
- ☐ Arixtra
- ☐ Astelin
- ☐ Carbatrol
- ☐ Diastat
- ☐ Duragesic
- ☐ Effexor XR
- ☐ Lovenox
- ☐ Nasacort AQ
- ☐ Uroxatral
- ☐ Valtrex
- Prior authorization is required for the generic
- Prior Authorizations are valid for up to 6 months (5 refills).
- The prescriber prevails provision applies.
New York State Medicaid Pharmacy Program
References
An Overview and Reference Guide
for Medicaid Managed Care Plans August 25, 2011
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