Medicaid is an important government-funded health insurance program, providing coverage to those who are unable to afford health insurance. Over the years, Medicaid has seen its fair share of changes, such as the new Medicaid NY Formulary that was implemented in 2019. This new formulary has had a major positive impact on New Yorkers, as it offers a wealth of services and benefits not available before.

The Medicaid NY Formulary is divided into three different categories: Preferred Drugs, Non-Preferred Drugs, and Out-of-Network Drugs. The Preferred Drugs are the most commonly prescribed medications that offer the greatest clinical outcomes. Those who receive prescriptions for these drugs receive the best possible coverage under the new formulary, meaning that the costs associated with these medications are greatly reduced.

The Non-Preferred Drugs are sometimes necessary to treat certain medical conditions, but they are not as common. These drugs typically have higher prices, but if they are medically necessary, then Medicaid will cover them. Patients should talk to their doctor about the costs associated with these medications.

The Out-of-Network Drugs are only available for those in certain regions. The state’s formulary does not cover these drugs, but doctors may be able to obtain them from a local pharmacy. They may be more expensive, but if they offer the best medical outcome, then they can be worth it.

The Medicaid NY Formulary covers a variety of services as well as prescription drugs. It also covers dental services, home health care, and preventive services. The formulary also offers discounts on certain durable medical equipment and supplies. Additionally, the formulary provides coverage for mental and behavioral health services. This includes counseling, psychiatric services, and drugs used in the treatment of certain mental health disorders.

Overall, the Medicaid NY Formulary has presented patients with greater access to quality care and services, and it has extended coverage for prescription drugs and other services not previously covered. This formulary has significantly improved the way that New Yorkers receive medical treatment, and it has allowed them to receive the services they need at an affordable cost.