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Transition of Pharmacy Benefit from Managed Care to Fee-for-Service

Posted Mar 22, 2023

Effective April 1, 2023, Medicaid members enrolled in MMC Plans, HARPs, and SNPs will receive their pharmacy benefits through the NYRx Pharmacy program.

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. The transition will not apply to Medicaid members enrolled in Managed Long-Term Care (MLTC) plans, Essential Plans, or Child Health Plus.

See more details here.