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...New york state medicaid program enteral formula prior authorization dispenser worksheet rev to facilitate the process be prepared answer these questions when you call voice interactive line at option do not block your caller id for audit purposes is recorded by enter digit number obtained prescriber and written on fiscal order recipient cin client identification of patient which ordered automated system will then confirm that a valid unused exists this alpha numeric national provider pharmacy or dme category service telephone where can reached portion hcpcs code being prescribed see products classification list b http www emedny org providermanuals communications html add two bo modifier indicating oral administration if applicable shaded area claim must match full categorized under same five seven combined into one request record please sure product requested age payment made are appropriate reported activate continue validate information below caloric units authorized per month activ...