Looking for Medicare formularies?
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Drugs Covered
Which drugs are covered by my plan?
Plan formularies
You can see the list of drugs covered by your EmblemHealth plan below. This drug list is also known as a formulary.
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2020 Essential Plan Formulary
The list of drugs we cover under the Essential Plan for New York State of Health members. It is up to date as of December 1, 2019.
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2020 Qualified Health Plan Formulary
The list of drugs we cover under the Qualified Health Plan for New York State of Health members. It is up to date as of December 1, 2019.
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2019 Essential Plan Formulary
The list of drugs we cover under the Essential Plan for New York State of Health members. It is up to date as of December 1, 2019.
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2019 Qualified Health Plan Formulary
The list of drugs we cover under the Qualified Health Plan for New York State of Health members. It is up to date as of Decemberr 1, 2019.
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2019 Large Group Formulary
This is a list of the most commonly prescribed preferred drugs for members with the Large Group Formulary (over 50 eligible).
YOUR MEDICATION
Delivery and Refills
Find out how to set up home delivery or a get a prescription refill.
MTM PROGRAM
Medication Therapy Management
Find out if you qualify for this service, which is free for EmblemHealth Medicare plan members with Part D prescription drug coverage.
KNOW YOUR RIGHTS
Grievances and Appeals
Find out how to file a grievance or an appeal, request coverage decisions and determinations, and more.
If you are not sure which formulary your plan uses or have any other questions, call your employer’s benefit administrator or EmblemHealth Customer Service at the number on your member ID card.
