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Rx Cost Calculator and Pharmacy Locator

Rx Cost Calculator and Pharmacy Locator

Use our Cost Calculator tool to estimate your prescription drug costs. Enter the prescription drugs you take and we'll show you your monthly drug costs.

These include drugs in the coverage gap, also known as the "donut hole." During the donut hole, you pay for a higher share of your drug costs, and your plan pays the rest.

EmblemHealth Medicare prescription drug plans will include preferred and non-preferred retail pharmacies. These are a group of pharmacies that contract with EmblemHealth.

Your drug may cost less if you use a preferred pharmacy.

With more than 27,000 preferred pharmacies in the plan’s network, including major retail chains and independent pharmacies, it’s easy to find one that’s near you.

EmblemHealth VIP Value (HMO), EmblemHealth VIP Dual (HMO D-SNP), EmblemHealth VIP Gold (HMO) and EmblemHealth VIP Gold Plus (HMO)

2020 Rx Cost Calculator & Pharmacy Locator
(administered through ExpressScripts)

EmblemHealth VIP Rx Saver (HMO), EmblemHealth VIP Part B Saver (HMO) and EmblemHealth VIP Go ( HMO-POS) 

2020 Rx Cost Calculator & Pharmacy Locator
(administered through ExpressScripts)

EmblemHealth VIP Essential (HMO), EmblemHealth VIP Passport (HMO) and EmblemHealth VIP Passport NYC (HMO)

2020 Rx Cost Calculator & Pharmacy Locator
(administered through ExpressScripts)

EmblemHealth VIP Rx (PDP) and EmblemHealth VIP Rx Plus (PDP)

2020 Rx Cost Calculator & Pharmacy Locator
(administered through ExpressScripts)

EmblemHealth VIP Dual Select (HMO D-SNP), EmblemHealth VIP Solutions (HMO D-SNP)

2020 Rx Cost Calculator & Pharmacy Locator
(administered through ExpressScripts)

2019

EmblemHealth VIP Value (HMO), EmblemHealth VIP Essential (HMO), EmblemHealth VIP Gold and Gold Plus (HMO)

RX (Prescription) Cost Calculator & Pharmacy Locator
(administered through ExpressScripts)

EmblemHealth VIP Rx Saver (HMO), EmblemHealth VIP Part B Saver (HMO) and EmblemHealth VIP Go (HMO-POS)

RX (Prescription) Cost Calculator & Pharmacy Locator
(administered through ExpressScripts)

EmblemHealth VIP Dual (HMO SNP)

RX (Prescription) Cost Calculator & Pharmacy Locator
(administered through ExpressScripts)

 

Estimated pricing and coverage for medication is based on a sample plan design and may change based upon your benefit selection. Medication prices, individual retail pricing and individual copayments may vary.

Pharmacist's judgment, your doctor's instructions on how to take the medication, and applicable law may impact the actual dispensed quantity and/or days' supply you may receive. Medication costs outside of your prescription program, and sales tax, where applicable, are not included.

Savings amounts may vary based on drug prices, prescription programs, including deductibles and out-of-pocket expenses, in effect at the time of the savings calculation, applicable law and pharmacist's judgment.

Medication costs outside of your prescription program, and sales tax, where applicable, are not included. In most cases, if alternative drugs are listed, they are preferred by your prescription program. Some or all of the alternative drugs may not be appropriate for you and all will require your doctor's approval.

The coverage and pricing terms of the prescription benefit are subject to change. This information is a general overview of your prescription benefit program. Certain prescription drugs may be subject to prior authorization (you will need to get approval from your plan before you fill certain prescriptions), step therapy (you may need to try a different, less expensive or more common drug first), quantity limitations, and age or gender restrictions. Please note that the pricing and coverage terms of prescription benefits are subject to change. Individual retail pricing may vary.

To ask for drug exception coverage, go to the Part D Coverage Determination section. To file a redetermination for drug coverage, please see the Appeals section.

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See Covered Drugs

Find the prescription drugs you take on our list of covered drugs called a formulary.

Find a Pharmacy

There’s an EmblemHealth network pharmacy near you. Here’s how to find one.

Last Updated 10/1/19

Y0026_ 127364 Accepted 10/1/19

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