Related links
new york state medicaid program pharmacy manual policy
➢ A faxed order must include the physician stamp and signature. ➢ Each faxed prescription or fiscal order may include only one (1) drug. Lists of drugs
Learn more
Drug Authorization and Policy Override Center
If submitting supporting clinical information via mail or fax, providers are prompted to print a system-generated Portal PA Cover Sheet to be sent with the
Learn more
GSK Patient Assistance Program Application Check List:
Note: Faxed prescriptions will only be accepted as valid if faxed directly from a physicians office and accompanied by a fax cover sheet.
Learn more