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New York State Medicaid Fee-for-Service Practitioner Administered Drug Policies and Billing Guidance

Linked Guidance
Drug or Drug Class Name Policy/Guidance Clinical Criteria Worksheet
Fillable PDF* File
Aducanumab-avwa (Aduhelm ®) October 2022
November 2022
Aduhelm (PDF)
Crizanlizumab-tmca (Adakveo®) May 2020 Adakveo (PDF)