New York State Medicaid Pharmacy Benefits
Based on feedback we’ve received, Members are not aware their pharmacy benefits are now administered through NYRx. Please read how you can help remind your patients of this change.
Learn how to become part of our network and ensure your credentialing and registration are up-to-date
Search by Member ID, location, and plan type to find participating doctors and facilities
Find the right contact at MVP to address your questions
Get started with essential resources and guidance
Submit PAs for medical procedures and medications that require prior authorization
Check Member eligibility and review benefits
Submit claims electronically, track status, and review appeals
Check electronic payment statements and status
Sign in to your MVP Availity account to enhance preventive care—such as immunizations and checkups—for improved community health, using MVP Insights Powered by Arcadia
Access HEDIS tip sheets, compliance support documents and more supporting materials, to assist Providers in addressing gaps in care
Review: Medical, Payment, Genetic Testing, Laboratory, Pharmacy, and MVP Operations policies
View formularies, prior authorization forms, Medicaid and Medicare prescription benefits and more
Check out recent announcements and updates from MVP
Access clinical education, required trainings, attestations, and Provider support programs
Learn how to become part of our network and ensure your credentialing and registration are up-to-date
Search by Member ID, location, and plan type to find participating doctors and facilities
Find the right contact at MVP to address your questions
Get started with essential resources and guidance
Submit PAs for medical procedures and medications that require prior authorization
Check Member eligibility and review benefits
Submit claims electronically, track status, and review appeals
Check electronic payment statements and status
Sign in to your MVP Availity account to enhance preventive care—such as immunizations and checkups—for improved community health, using MVP Insights Powered by Arcadia
Access HEDIS tip sheets, compliance support documents and more supporting materials, to assist Providers in addressing gaps in care
Review: Medical, Payment, Genetic Testing, Laboratory, Pharmacy, and MVP Operations policies
View formularies, prior authorization forms, Medicaid and Medicare prescription benefits and more
Check out recent announcements and updates from MVP
Access clinical education, required trainings, attestations, and Provider support programs
Based on feedback we’ve received, Members are not aware their pharmacy benefits are now administered through NYRx. Please read how you can help remind your patients of this change.
Based on feedback we’ve received, Members are not aware their pharmacy benefits are now administered through NYRx. Please read how you can help remind your patients of this change.
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.