Prescription Drugs Covered by NYS Medicaid for Dual Eligible Beneficiaries Effective January 1, 2014 NYS Medicaid provides prescription drug coverage only for the drugs listed below for beneficiaries who are also enrolled in a Medicare Part D drug plan. All other prescription medications should be obtained through the Part D plan. For the most up to date coverage information for the products below, please refer to the NYS Medicaid List of Reimbursable Drugs available at https://www.emedny.org/info/formfile. Prescription Vitamins CALCIJEX CALCITRIOL CYANOCOBALAMIN DEXFERRUM DRISDOL FOLIC ACID HYDROXOCOBALAMIN INFED MEPHYTON NASCOBAL NASAL SPRAY NULECIT PYRIDOXINE INJ ROCALTROL THIAMINE INJ VENOFER VITAMIN B12 INJ/NASAL VITAMIN D VITAMIN D2 VITAMIN K ZERVALX Benzonatate BENZONATATE TESSALON PERLE ZONATUSS NYS Medicaid also covers certain over‐the‐counter drugs for dual eligible beneficiaries. For a list of over‐the‐counter drugs that are covered, please visit https://www.emedny.org/info/fullform.pdf and look for “Rx Type 07” towards the end of the document. NYS Medicaid does not provide dual eligible beneficiaries with coverage of compounded prescriptions.