Member Important Updates on NYRx, the Medicaid Pharmacy Benefit
| Subject: Important Updates on NYRx, the Medicaid Pharmacy Benefit | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Dear Members, We hope you are doing well! We have news about NYRx. Your health matters to us, and we want to give you the latest information to help you manage your drugs and supplies. What is NYRx? NYRx is your New York Medicaid pharmacy benefit. NYRx covers your prescription drugs and supplies, and some over-the-counter items. To see what's covered under the NYRx program, visit https://member.emedny.org/. |
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| Coverage Stopped for Some Drug Manufacturers: Starting July 1, 2026, the following drug manufacturing companies will no longer be covered by NYRx: Other companies that make the same generic medicines are not affected. Your pharmacy may switch to a different company's version of the medicine and will let you know if this happens. The following drugs may be impacted:
* This medication is not available from another manufacturer, and you should discuss this with your doctor. Extra Information Needed for Certain High-Cost Medicines: Starting July 16, 2026, the following drugs will no longer be covered by NYRx without your doctor requesting approval. These drugs have alternate options available that do not require more information. Talk to your doctor or pharmacist about alternative drugs that do not require approval. Drugs that will need this additional information:
You may still be able to get these drugs, but your doctor will have to submit additional information showing a clear health-related reason for use. Talk to your doctor or pharmacist to get more information. |
| Important Reminders |
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| 90-Day Supplies: Most drugs you take regularly are available as a 90-day supply. To get a 90-day supply, ask your doctor for a prescription. You can also talk to your pharmacist, who can speak to your doctor. |
| Questions? We're Here to Help! |
If you have any questions regarding your pharmacy benefits or NYRx, please call the Medicaid Helpline at (800) 541-2831. Our agents are available:
TTY 1-800-662-1220. We also provide help in different languages. Thank you, NYRx, Medicaid Pharmacy Program New York State Department of Health |
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