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Which drugs are covered by my plan?

You can see the list of drugs covered by your EmblemHealth plan below. This drug list is also known as a formulary.

2019 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
June 1, 2019.

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2019 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 June 1, 2019.

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2019 Large Group Formulary +

This is a list of the most commonly prescribed preferred drugs for members with the Large Group Formulary
(over 50 eligible).

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2019 Small Group Formulary +

This is a list of the most commonly prescribed preferred drugs for members with the Small Group Formulary (Effective April 1, 2019).

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2019 Child Health Plus Formulary +

This is a list of the most commonly prescribed preferred drugs for members with the Child Health Plus Formulary (Effective April 1, 2019).

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.

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