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NYRx, the Medicaid Pharmacy Program Member Resources
Welcome to NYRx, the Medicaid Pharmacy Program Member Resources
Effective April 1, 2023, your pharmacy benefit is covered by NYRx, the NYS Medicaid Pharmacy Program. This website provides information and tools about your pharmacy benefits, including what drugs and supplies are covered and where you can find a nearby pharmacy that takes NYRx.
What is NYRx, The NYS Medicaid Pharmacy Program?
NYRx covers your prescription drugs, over-the-counter products, and medical supplies. In some instances, if you have a primary insurance and also qualify for Medicaid, then Medicaid would only be billed after your primary insurance to assist with paying the primary insurance copay or with coverage of a drug that is excluded from that insurance plan.
How do I contact someone for help about my pharmacy benefits?
For help by phone, contact the Medicaid Helpline at: (800) 541-2831.
Helpline Hours: Mon-Fri 8AM-8PM, Sat 9AM-1PM, Language help is available
Helpful information is also available online:
- The FAQs about NY Medicaid Benefits provides answers to the most common questions, including about copays and renewals.
- The FAQs about the Transition of the Pharmacy Benefit provides answers to questions received from members, providers, and other stakeholders about the transition from Medicaid Managed Care to NYRx.
- The Member Fact Sheet has quick information about the changes effective April 1, 2023.
- How To Use NYRx, Your Medicaid Pharmacy Benefit is a short video explaining your pharmacy benefits.