Nys Irmaa 2024 Reimbursement Form. Facilities and pharmacies enrolled with nys medicaid will be reimbursed for the cost of zynteglo® (betibeglogene autotemcel). Any premiums paid above the standard amount should be submitted.

The 2022 medicare part b irmaa reimbursement form has been released by the city office of labor relations. Irmaa is the income related.