New York State Medicaid Pharmacy Benefits

Published April 2024

As a reminder, as of April 1, 2023, the pharmacy benefit for New York State (NYS) Medicaid Managed Care (MMC) and Health and Recovery Plan (HARP) Members transitioned to the NYS Medicaid NYRx Pharmacy Plan. The new plan provides benefits including prescription drugs and supplies for MMC and HARP Members. If you prescribe medications to these Members, please remind them of this change. If your patients have questions about their benefits or coverage, please refer them to the Quick Information About Your NYS Medicaid Pharmacy Benefits provided by the NYS Department of Health.