Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by New York State Department of Health – Uninsured Care Programs (ADAP). Before sending anything sensitive, confirm the number and receiving department directly with New York State Department of Health – Uninsured Care Programs (ADAP), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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New York State Department of Health – Uninsured Care Programs (ADAP) fax number
(518) 459-7429
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Uninsured Care Programs (ADAP)
Used for: Pharmacy Enrollment Form submission for ADAP/Uninsured Care Programs
Fax destination details
- Department
- Uninsured Care Programs (ADAP)
- Purpose
- Pharmacy Enrollment Form submission for ADAP/Uninsured Care Programs
- Form
- Independent Pharmacy Enrollment Form — Pharmacy Enrollment Form
- Address
- Empire Station, P.O. Box 2052, Albany, NY 12220-0052
- Voice phone
- 1-800-542-2437
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
PLEASE PRINT CLEARLY. Email the completed form to adap.admin@health.ny.gov OR fax to (518) 459-7429
Official form instructions are published as a downloadable file on the organization's website.
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