On August 21, the State Department of Health held its monthly pharmacy call for NYRx transition, the Medicaid Pharmacy Benefit Program. Several relevant agenda items include the following:

1. Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) order acceptance policy
2. NYRx utilizes the NADAC file which contains historical information for rate/pricing changes. The following provides information on how to read the file:
   • The “Effective Date” is the effective date for each rate change. The effective date is designed to avoid overlapping date segments for a specific NDC.
   • The “As of Date” indicates the date a rate group first appeared on the NADAC.
   • The “Posting Date” is the date in which the NADAC is posted to eMedNY.
   • EMedNY cut-off time for file updates occurs every Friday (most NADAC prices show an “As of Date” every Wednesday).
   • Information in the pricing file will post to eMedNY every Tuesday.

3. NYRx, the Medicaid Pharmacy Program, is making significant changes to the coverage of diabetic testing supplies. These changes align with Medicare coverage criteria.
4. NYRx is conducting system enhancements to accommodate vaccine billing by NDC targeted for late October:

• eMedNY systems will automatically apply the administration fee in a single transaction,
• NYRx is committed to making this transition as smooth as possible.

For more information, please contact NACDS’ Mike Sargent at 207-272-6435.