Prescribers that are not enrolled in the Fee-For-Service program must enroll, in order to continue serving Medicaid Managed Care members. Instructions for checking enrollment status and enrollment tips can be found on the eMedNY Provider Enrollment website.

Prescribers should review the Preferred Drug List (PDL), which contains a full listing of drugs/classes subject to the NYS State Medicaid FFS Pharmacy Programs and additional information on clinical criteria prior to April 1, 2023. Prescribers may either switch members to a preferred product or may obtain a PA for a non-preferred product. See below for instructions on requesting a PA or refer to the PDP web page.

• To initiate the PA process, the prescriber must call the PA call center at (877) 309-9493 and select option "1" for prescriber. The call center is operational 24 hours a day, seven days per week.
• Fax requests are permitted for most drugs. Completed PA forms should be sent to (800) 268-2990. Fax requests may take up to 24 hours to process. PA forms and references are available on the webpage.
• Billing questions should be directed to the eMedNY Call Center at (800) 343-9000.
• Clinical concerns or PDP questions should be directed to (877) 309-9493 or visit Prime Therapeutics's website for the NYS Medicaid Pharmacy Program.
• Medicaid pharmacy policy and operations questions should be directed to (518) 486-3209