
FORMULARY Chronic Medication & CDL Registration
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People also ask
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Does Medica cover semaglutide?
In March 2024, Medicare announced that Part D plans could cover semaglutide (Wegovy; Novo Nordisk) for patients with elevated body mass index ([BMI]; BMI ≥ 27 kg/m²) and established cardiovascular disease (CVD), regardless of their diabetes status.
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What is a formulary code?
The formulary shall identify the drug classification system that is used. Prescription drugs shall be listed in drug classes consistent with the drug classification system.
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Does Medicaid cover Wegovy for obesity?
Every state decides what prescription drugs to cover through Medicaid. As of July 2023, California, Connecticut, Delaware, Michigan, Minnesota, Pennsylvania, Rhode Island, Virginia, and Wisconsin are the only states that cover Wegovy without requiring Medicaid beneficiaries to try less expensive drugs first.
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Does NY Medicaid cover semaglutide?
GLP-1 medications prescribed off-label for weight loss, such as Ozempic (semaglutide), are usually covered by Medicaid if they're taken to treat Type 2 diabetes (their FDA-approved use).
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Does New York Medicaid cover weight loss medication?
Does NYRx cover this? A: NYRx covers medically necessary FDA-approved drugs when used for Medicaid-approved reasons. Certain drugs, drug classes, or reasons for taking a drug, including for weight loss, cosmetic purposes, or hair growth, are excluded from coverage based on federal and state rules.
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What does Medicaid not cover in NY?
All pharmacy, physician, ambulatory care services and inpatient hospital services, not provided in a nursing home, are covered. Coverage for all Medicaid covered services/supplies. Coverage for medical services except inpatient care, institutional long term care, alternate level of care, and long term home health care.
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What type of formulary is a limited list of drugs?
A closed formulary is a limited list of medications. A closed formulary may limit drugs to specific physicians, patient care areas, or disease states via formulary restrictions.
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Does NYS Medicaid cover weight loss medication?
Note: NYRx, the Medicaid pharmacy program, covers medically necessary FDA-approved drugs when used for Medicaid-covered indications. Certain drugs, drug classes, or drug indications including weight loss are excluded from coverage pursuant to federal or state law and regulation.
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