Bill > A04123

This bill requires Medicaid managed care and Child Health Plus plans to adopt the procedural protections of the Preferred Drug Program, including the "prescriber prevails" provision, for all drugs. Specifically, the bill establishes a qualified prescription drug system that allows prescribers to override prior authorization requirements for non-preferred drugs if they determine the drug is medically necessary for the patient. The bill also exempts certain drug classes, such as antipsychotics and antiretrovirals, from prior authorization requirements under the Preferred Drug Program.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2021/A4123