NYRx to Launch Electronic Prior Authorization via CoverMyMeds This Summer
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Beginning this summer, NYRx, the Medicaid Pharmacy Program, will accept electronic prior authorization (ePA) requests via CoverMyMeds® in addition to phone and fax requests.
CoverMyMeds is a tool designed to simplify the prior authorization process by prompting prescribers to answer required clinical questions that can offer real-time approvals if clinical criteria are met. Prescribers will be able to electronically submit prior authorization requests, upload supporting documents, and track request status in real time.
Additionally, pharmacy providers who utilize CoverMyMeds will have the opportunity to initiate medication ePA requests on behalf of the member for completion by the prescriber. CoverMyMeds will direct the case to the prescriber’s queue and prompt them to complete and submit the ePA to NYRx.
Further communications, including effective dates, resources, and educational events, are coming soon.
What Pharmacy Providers and Prescribers Need to Do
- Read Three Ways to Submit a Prior Authorization to NYRx, the Medicaid Pharmacy Program.
- Read the Quick Guide to CoverMyMeds Prior Authorization Requests to learn more about CoverMyMeds.
- Visit the CoverMyMeds Log In page to create an account, complete your profile, and become familiar with the application.
Note: Please ensure that all information in your profile is accurate.
- Reach out to NYRx Education & Outreach team if you have questions or would like to learn more about how to submit ePA submissions via CoverMyMeds.
Resources
- CoverMyMeds Website
- NYRx Education & Outreach Website
- NYRx Prior Authorization Submission Guide
- Quick Guide to CoverMyMeds Prior Authorization Requests
- Three Ways to Submit a Prior Authorization to NYRx, the Medicaid Pharmacy Program
For questions related to CoverMyMeds technical support, contact the CoverMyMeds Call Center by phone at 1-866-452-5017 or by live chat at covermymeds.com from 8:00 AM to 8:00 PM ET, Monday through Friday, excluding holidays.
For questions related to NYRx, contact the NYRx Education & Outreach Call Center by phone at 1-833-967-7310 or by email at [email protected] from 8:00 AM to 5:00 PM ET, Monday through Friday, excluding holidays.
