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NYS Department of Health Rules and Regulations, Title 10

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NYS Preferred Drug Program - Prior Authorization Forms/Worksheets

Other Info

	DOH Medicaid Update Website Provides up-to-date changes that may affect your participation in the Medicaid Program.

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Provider Manuals > Pharmacy Manual

Pharmacy Manual

Pharmacy Manual Contents

Information for All Providers

Policy Guidelines

DMEPOS Fee Schedule

Fee Schedule Column Descriptions

Medical Supply Procedure Codes & Coverage Guidelines

Billing Guidelines

Pharmacy Billing Guidelines

General Remittance Guidelines

Paper Claim Form 150003 - Instructions for Drugs Billed Separately

Medicaid List of Reimbursable Drugs (Formulary File)

Preferred Diabetic Supply List (PDSL) - Prime Therapeutics State Government Solutions

ProDUR-ECCA D.0 Provider Manual

ProDUR-ECCA Standards Manual (links to NCPDP D.0 Companion Guide)

Enteral Formula Prior Authorization webinar

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