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  • Directory > Pharmacy Services

     Retail Pharmacy Services (Pharmacies)
    EmblemHealth Pharmacy Services:
    (877) 793-6253
    , 24 hours a day, 7 days a week
    Clinical Pharmacy Services (Providers)
    EmblemHealth:
    (877) 362-5670
    , Monday through Friday, 8 a.m. to 6 p.m.

    Express Scripts, Inc. (ESI):
    (home delivery for all plan members except for state and federal employees and retirees with GHI coverage)
    Physicians may call in new prescriptions to Express Scripts at (888) 327-9791.

    Specialty Pharmacy Program:
    (888) 447-0295
    , Monday through Friday, 8:30 a.m. to 5 p.m.
    Magellan Rx:
    (866) 554-2673
    , Monday through Friday, 8 a.m. to 7 p.m.
     Pharmacy Benefit Services (Members)
    EmblemHealth:
    (for all members with the exception of GHI retirees and city, state and federal employees with GHI coverage)
    (877) 793-6253, Monday through Friday, 8 a.m. to 8 p.m.
    TTY/TDD: 711

    Medicare Pharmacy Line:
    (for providers and Medicare members excluding retirees and city, state and federal employees with GHI coverage)
    (877) 444-7097, Monday through Sunday, 8 a.m. to 8 p.m.
    TTY/TDD: 711

    Medicaid Pharmacy Line:
    (for providers and Medicaid members)
    (888) 447-7364, Monday through Friday, 8 a.m. to 8 p.m.
    TTY/TDD: 711
    GHI Customer Service:
    (for GHI retirees and city, state and federal employees with GHI coverage)
    (800) 624-2414, Monday through Friday, 8 a.m. to 8 p.m.
    If calling from New York City, members may also call (212) 615-4444.
    TTY/TDD: 711

    Express Scripts, Inc. (ESI):
    (home delivery for all plan members except for state and federal employees and retirees with GHI coverage)

    • (877) 866-5798 (Commercial members excluding all City of New York Commercial members)
    • (877) 866-5828 (EmblemHealth Medicare members excluding all City of New York Medicare members)
    • (877) 866-4165 (EmblemHealth Medicaid members)
    • (866) 211-8379 (New York State of Health)
    • (877) 534-3682 (City of New York Commercial members)
    • (800) 585-5786 (City of New York Medicare members)
    • 711 (for users of TDD/TTY)

    24 hours a day, 7 days a week

    Physicians may call (888) 327-9791 for instructions on how to fax a prescription to ESI. In addition, members can speak to a registered pharmacist for medication counseling.

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    Glossary terms found on this page:

    Acronym for Medicare Advantage. An alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.

    A jointly funded federal and state program that provides hospital and medical coverage to the low-income population and certain aged and disabled individuals.

    A nationwide insurance program for the disabled and people age 65 and over, created by the 1965 amendments to the Social Security Act and operated under the provisions of the Act. It consists of two separate but coordinated programs, Part A and Part B.

    An individual and each of his or her eligible dependents, including Medicare beneficiaries who are enrolled or participate in a benefit program and who are entitled to receive covered services from the practitioner pursuant to such benefit program and the terms of the practitioner's agreement.

    A written order or refill notice issued by a licensed medical professional for drugs available only through a pharmacy.

    A medical practitioner or covered facility recognized by EmblemHealth for reimbursement purposes. A provider may be any of the following, subject to the conditions listed in this paragraph:

    • Doctor of medicine
    • Doctor of osteopathy
    • Dentist
    • Chiropractor
    • Doctor of podiatric medicine
    • Physical therapist
    • Nurse midwife
    • Certified and registered psychologist
    • Certified and qualified social worker
    • Optometrist
    • Nurse anesthetist
    • Speech-language pathologist
    • Audiologist
    • Clinical laboratory
    • Screening center
    • General hospital
    • Any other type of practitioner or facility specifically listed in the member's Certificate of Insurance as a practitioner or facility recognized by EmblemHealth for reimbursement purposes

    A provider must be licensed or certified to render the covered service. The covered service must be within the scope of the Provider's license or certification.

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