Application for enrollment
Compiled text through May 15, 2022
Register checked through Jul 29, 2026
No later Register activity identified in this check.
Dates and status
- Compiling agency
- Executive Department
- Text status
- Source receipt
- Compiled text through
- May 15, 2022
- Register checked through
- July 29, 2026/Vol. XLVIII, Issue 30 (2026-07-29)
- Activity status
- No later Register activity identified in this check.
- Source snapshot
- Jun 6, 2026
(a)Information regarding application for enrollment may be obtained by writing to the provider enrollment unit of the contractor.
(b)Any person who furnishes covered drugs and who wishes to receive payments under the program must enroll as a provider of services prior to being eligible to receive such payments.
(c)A pharmacy-applicant must hold a proper and currently valid New York State pharmacy license and registration to be eligible to furnish the care, services or supplies under the program.
(d)To apply for enrollment as a provider of covered drugs, a pharmacy-applicant must submit a complete, original, signed and sworn application in the form and manner as may be required by the contractor. The ownership and disclosure form required by the contractor is part of the application.
(e)The contractor may require the provision of information relative to the pharmacy-applicant's ability to provide high-quality services and to be financially responsible.