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Pharmacy

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Your Pharmacy Benefits

Make the most of your coverage with easy-to-use tools that help you manage your prescription medicines.

To find a network pharmacy or the cost of a prescription medicine through Prime TherapeuticsTM, select a plan below.

Medicare Members: visit our Medicare Pharmacy resources page.

Members enrolled in Medicaid and Enhanced Care Plus (HARP) receive prescriptions through NYRx, the Medicaid Pharmacy Program.

Get personalized information about your pharmacy coverage and manage all your benefits in one place on the myEmblemHealth member portal.

To find a network pharmacy or the cost of a prescription medicine through Express Scripts, select a plan below.

Medicare Members: visit our Medicare Pharmacy resources page.

Members enrolled in Medicaid and Enhanced Care Plus (HARP) receive prescriptions through NYRx, the Medicaid Pharmacy Program.

Get personalized information about your pharmacy coverage and manage all your benefits in one place on the myEmblemHealth member portal.

Convenient Delivery and Refills

With Express Scripts, you can get up to a 90-day supply of your approved long-term medicines (or maintenance drugs) mailed right to your home. In some cases, this may help you save on copays. Plus, you pay nothing for shipping.

  • Order Online

    Sign in to myEmblemHealth to order refills or set up home delivery.

  • Order by Mail

    Use the refill order form that comes with your mailed order.

Pharmacy Resources

Learn more about your benefits below. Still have questions? We’re here to help. For pharmacy support, call EmblemHealth Customer Service at the number on your member ID card.
Female on computer with pill bottles at home

List of Covered Drugs

Our health plans cover a wide range of prescription drugs. Explore your plan and find out which drugs it covers.
man holding pill organizer and looking at a glass of water in kitchen

Medication Adherence

Taking your medicine as directed by your doctor or pharmacist is one of the most important things you can do for your health.
man on computer at home

Grievances and Appeals

Find out how to file grievances and appeals, request coverage decisions and determinations, and more.
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Also of Interest: 
Drug List   |   Delivery & Refills   |   Healthy Discounts