The transition of the Pharmacy Benefit from Managed Care to Fee-for-Service

Starting from May 1, 2021, Medicaid Managed Care (MMC) plans will move the pharmacy benefit into the NYS Fee-for-Service (FFS) program. In preparation for this change, on March 1, 2021, Healthfirst transitioned select physician-administered drugs paid under the pharmacy benefit to the Healthfirst medical benefit. To find out more, read along!

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