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Covered Drugs

Download copies of claims forms and learn more about your pharmacy benefits and more.

2018 Essential 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
January 1, 2018

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2018 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 January 1, 2018

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2018 Premier Formulary +

A list of most common preferred drugs for members of Large group plans (over 50 eligible).

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2018 Select Formulary Summary +

This is a list of the most commonly prescribed preferred drugs for members with the Select Formulary (Effective January 1, 2017), and the New York State-sponsored Child Health Plus program.

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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 the back of your ID card.

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Your member ID # is on the front of your ID card.