NYS Medicaid Managed Care Pharmacy Benefit Information Website

Over the last few years, The New York State Department of Health (NYSDOH) in partnership with the State University of New York at Stony Brook have developed the New York State Medicaid Managed Care Pharmacy Benefit Information Website. This website provides important information about the Medicaid Managed Care organizations and their formulary drug coverage.

The homepage lists all the Medicaid Managed Care plans. From this page the user can link to a specific plans pharmacy benefit information, prior authorization form and other important information such as how the plan is handling the recent and ongoing behavioral health transition. In addition there is a banner that runs across the top of this page which highlights the latest additions to the website or important information about Medicaid Managed Care.

From the drug look-up page the user can search for a specific drug and find coverage by plan or select a therapeutic class list from the Mental Health Quick list or Therapeutic Classes, Other tab. Under these tabs the user will find specific therapeutic class lists such as second generation antipsychotics and anticonvulsants that will show coverage within the class by plan.

The FAQ page provides additional information about formulary coverage and Medicaid Managed Care.

The newest addition to the website is the Contact us page. This page includes contact information for the Medicaid Helpline, helpful links to the Medicaid program as well as an email contact feature that allows users to email NYSDOH feedback, comments or suggestions about the website.

The Medicaid Managed Care Pharmacy Benefit Information website is available at:

http://mmcdruginformation.nysdoh.suny.edu/ *

*Note this is a new URL. Users accessing the site with the old URL will be redirected.

In addition you can link to the website from the following pages:

New York State Department of Health Medicaid Managed care Page:

http://www.health.ny.gov/health_care/managed_care/

Click on Medicaid Managed Care Pharmacy Benefit Information Center

https://www.emedny.org/index.aspx

Click on New York State Medicaid Managed Care Pharmacy Benefit Information Center

Redesigning New York’s Medicaid Program Page under supplemental information on specific MRT proposals:

http://www.health.ny.gov/health_care/medicaid/redesign/

Click on MRT 11& MRT 15, Pharmacy Related Proposals & then click on Managed Care Plan Pharmacy Benefit Manager and Formulary Information

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