NYRx Updates Diabetic Testing Supply Guidelines: What Physicians Need to Know
Click to Enlarge
New updates from NYRx outline specific parameters for pharmacies and prescribers managing diabetic testing supplies for Medicaid patients. Physicians must follow new quantity and day supply limits for diabetic test strips and lancets, 300 strips per 90 days for insulin users and 100 for non-insulin users, aligned with Medicare standards. Prescriptions exceeding these thresholds will require prior authorization. Continuous glucose monitors and disposable insulin pumps must also be billed in accordance with labeling guidelines. MSSNY encourages New York physicians to review the NYRx Preferred Diabetic Supply Program and ensure their prescriptions meet these updated criteria. By doing so, physicians help patients avoid unnecessary delays while preserving access to essential care. Stay informed and connect with MSSNY’s advocacy and policy updates to support your patients and your practice. Learn more: NYRx Diabetic Supply Resource
