Pharmacy Manual

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

Medicaid List of Reimbursable Drugs (Formulary File)
Preferred Diabetic Supply List (PDSL) - Magellan
ProDUR-ECCA D.0 Provider Manual
ProDUR-ECCA Standards Manual (links to NCPDP D.0 Companion Guide)
Enteral Formula Prior Authorization webinar

LISTSERV®

Click on the above link in order to sign up and receive notification of updates to manuals, communications and other pertinent information for your provider type.

Copyright © 2024 DOH. All Rights Reserved.

This website is provided as a service for providers and the general public, as part of the offerings of the electronic Medicaid system of New York State. You'll be able to find helpful manuals and reference material, and get answers to questions about New York Medicaid. The site is updated regularly to meet the ever-growing needs of the New York State provider community. If you need help finding what you're looking for, please visit our Site Map, use the search above, or you can contact us directly for assistance.