HF Logo HF Logo
Provider Home / Pharmacy Resources & Formularies
Resource Type
Clear All
Filter
Year
Sort By
Showing 13-22 of 22
Provider Alerts - Claims & Billing - Pharmacy Resources & Formularies - Plans & Benefits - Policy, Billing, or Coverage Update - 2023
Transition of the Pharmacy Benefit from Managed Care to Fee-for-Service

Effective April 1, 2023, Medicaid members enrolled in Medicaid Managed Care (MMC) Plans, Health and Recovery Plans (HARPs), and HIV-Special Needs Plans (SNPs) will receive their pharmacy benefits through the NYRx Pharmacy program, formerly known as the NYS Fee-for-Service (FFS) Pharmacy program.

Open document
Pharmacy
  
Provider Alerts - Pharmacy Resources & Formularies - Policy, Billing, or Coverage Update - 2023
NYRx Transition Fill Period Ending

Effective April 1, 2023, Medicaid members enrolled in Medicaid Managed Care (MMC) Plans, Health and Recovery Plans (HARP), and HIV-Special Needs Plans (SNPs) began receiving their pharmacy benefits through NYRx, the Medicaid Pharmacy program.

Open document
Pharmacy
  
Provider Alerts - Pharmacy Resources & Formularies - Practice Guidelines and Tips - 2023
Obtaining Physician-Administered Drugs through a Specialty Pharmacy

As a Healthfirst provider, you can get Physician-Administered Drugs (PADs) delivered to your office at no cost through White Bagging when the medication is obtained from a Healthfirst in-network specialty pharmacy provider.

Open document
Pharmacy
  
Pharmacy Resources & Formularies - Provider Resources - 2023
Pertuzumab Criteria
Open document
Quality and Compliance
  
Pharmacy Resources & Formularies - Provider Resources - 2023
Trastuzumab Criteria
Open document
Quality and Compliance
  
Pharmacy Resources & Formularies - Provider Resources - 2023
Avastin-Mvasi Criteria
Open document
Quality and Compliance
  
Pharmacy Resources & Formularies - Provider Resources - 2023
Herceptin Hylecta Criteria
Open document
Quality and Compliance
  
Pharmacy Resources & Formularies - Provider Resources - 2023
Perjeta Criteria
Open document
Quality and Compliance
  
Pharmacy Resources & Formularies - Provider Resources - 2023
Xolair Criteria
Open document
Quality and Compliance
  
Pharmacy Resources & Formularies - Quality and Compliance - 2023
Pharmacy Carve Out Delay Announcement

The Pharmacy carve-out has been delayed by two years, until April 1, 2023. Review this DOH announcement to learn more.

Open document
Medicaid
  
You are now navigating away from the Healthfirst website.

Links to non-Healthfirst websites are provided for your convenience only. Healthfirst is not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.