Skip Navigation

Covered Drugs

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

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
September 1, 2018

Download (PDF)

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 September 1, 2018

Download (PDF)

Large Group Formulary +

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

Download (PDF)

Small Group Formulary +

This is a list of the most commonly prescribed preferred drugs for members with the Small Group Formulary (Effective July 1, 2018).

Download (PDF)

Child Health Plus Formulary +

This is a list of the most commonly prescribed preferred drugs for members with the Child Health Plus Formulary (Effective July 1, 2018).

Download (PDF)

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.

You are now leaving the Medicare section of the EmblemHealth website.

Click to Continue ×

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