Effective May 1, 2014, Contact EmblemHealth To Obtain Prior Approval of Prescription Drugs for All Plan Members

Date Issued: 7/10/2014

As of May 1, 2014, all requests for prior approval of prescription drugs must be submitted to EmblemHealth Clinical Pharmacy Services, including requests for City of New York plan members. To request prior approval for prescription drugs, please call the appropriate phone number below, send a fax to 1-877-300-9695, or go to PromptPA to complete an online request.

  • For City of New York plan members: Call 1-888-447-8175, 8 am to 6 pm, Monday through Friday.
  • For all other EmblemHealth members: Call 1-877-362-5670, 8 am to 6 pm, Monday through Friday.

For additional information on prior approval of prescription drugs, please see the Pharmacy Services chapter of the EmblemHealth Provider Manual.