Additional Pharmacy Information

Our commitment to helping you get the drugs you need—and to be able to afford them—includes more than a large formulary and network pharmacies. At EmblemHealth, we give you information and services to help you save money through over-the-counter drugs, get the reimbursements you need when they are available and much more. The links below lead to important topics and services.

The MTM Program is a free service for EmblemHealth Medicare plan members with a Part D prescription drug coverage who have certain health conditions and who take seven or more chronic medications.

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The MTM Program is a free service for EmblemHealth Medicare plan members with a Part D prescription drug coverage who have certain health conditions and who take seven or more chronic medications.

Learn More

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). If you use a TTY/TDD, please call 1-877-486-2048, 24 hours a day/7 days a week; The Social Security Office at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. If you use a TTY/TDD, please call 1-800-325-0778; or your State Medicaid Office.

The amount of help you get will determine your total monthly premium as a member of our plan. The downloadable charts show you what your monthly plan premium will be if you get Extra Help.


You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; The Social Security Office at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. TTY users should call 1-800-325-0778; or Your State Medicaid Office.

The amount of help you get will determine your total monthly premium as a member of our plan. The downloadable charts show you what your monthly plan premium will be if you get extra help.


You, your representative or your prescriber can also start a coverage determination (exception) and coverage redetermination (appeal) request for Part D prescription drugs by sending us an email. Please see our Grievance and Appeal Information page for more information.



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