NY A00187

Establishes a medication synchronization program allowing recipients, providers, and pharmacists to align refill dates for multiple chronic illness medications when mutually agreed upon.

Applies to medications covered by Medicaid that are refillable for chronic conditions, excluding Schedule II controlled substances and Schedule III substances containing hydrocodone.

Prohibits denial of coverage for partial medication supplies dispensed for synchronization purposes and requires pharmacies to override "refilled too soon" denial codes when applicable.

Requires prorated daily cost-sharing rates for synchronized medications while maintaining full dispensing fees to pharmacies for partial supplies associated with synchronization.

Applies synchronization requirements only once per prescription drug unless the prescriber changes dosage, frequency, or prescribes a different drug; participation is voluntary for healthcare practitioners and pharmacists.