This website is designed to provide easy access for members and providers looking for information on the drugs and supplies covered by different Medicaid health care plans. While pharmacy benefits and participating pharmacies vary among health plans, all plans maintain their own web sites and customer service call centers.
To use this website, you should first check your health plan identification card and match it to the one presented on this website. By clicking on the appropriate identification card/logo you will be provided with contact numbers and links to your health plan's website including links to prior authorization (PA) forms and drug look-up options. If you do not have your health plan identification card or do not know what health plan you are enrolled in, call the Medicaid Helpline at 1-800-541-2831 from 8am through 8pm, Monday through Friday and from 9am to 1pm on Saturday.
Each managed care plan has its own list of covered drugs (called a formulary). If you would like to find out if a drug is covered, please perform a drug look-up search.
Managed Care Plans
For questions regarding your eligibility or to find out which managed care plan you are enrolled in, you may call the Medicaid Helpline at 1-800-541-2831 from 8am through 8pm, Monday through Friday and from 9am to 1pm on Saturday.
If any of the links you click fail to direct you to a specific page, please email PPNO@health.state.ny.us .
- For more general information on the NY State Medicaid fee for service program visit the New York State Medicaid site.
- For formulary information on the NY State Medicaid fee for service program visit the eMedNY site. (https://www.emedny.org/info/formfile.aspx)
- For more information on the NY State Medicaid Prior Authorization Programs please visit the Magellan Medicaid Administration site at https://newyork.fhsc.com
- For more general information on Medicaid Managed Care visit the New York State Managed Care site.
The New York State Department of Health (NYSDOH) obtains drug formulary information from Medicaid participating managed care plans on a quarterly basis. Please note NYSDOH publishes the drug formulary information as it is received. As a best practice, always contact or visit your managed care plan's website to obtain the most current information regarding the drug coverage.