Switch to:
  • members
  • brokers
  • employers
  • Sign in
  • Contact Us

EmblemHealth Formularies

Switch to:
Switch to:
  • members
  • brokers
  • employers
  • Sign in
  • Contact Us
EmblemHealth Logo.

Search

Popular Tasks

  • Find a seminar or webinar
  • Claims information
  • View provider manual
  • Clinical guidelines
  • Provider portal
Contact Us

Neighborhood Care

  • Cambria Heights
  • Harlem
  • Chinatown
  • East New York
  • See All Locations
  • EmblemHealth Logo
  • Provider Resources
    • Key Resources
    Provider Resources
    Key Resources Frequently Asked Questions News and Updates Directory Member ID Cards Improving the Patient Experience (PDF) Access and Availability Standards (PDF) Network Laboratories Plans with No Referrals (PDF) Urgent Care Center Locations
    Provider Toolkit Welcome materials, guides, and forms Our Companies, Lines of Business, Networks, and Benefit Plans (PDF) Bridge Program Commercial Networks and Benefit Plans Medicaid, HARP, and CHPlus (State-Sponsored Programs) Medicare Advantage Plans Credentialing Join Our Network
    Learning Online/ Required Trainings Provider Portal Materials Cultural Competency Continuing Education and Resources Medicaid Cultural Competency Certification Special Needs Plan Model of Care Medicare Fraud, Waste, and Abuse State-Sponsored Programs Pulse8 Webinars Referral Quick Guide
    For Your Members Resources to share with your members Neighborhood Care Find a center near you, view classes and events, and more
  • Clinical Corner
    • UM and Medical Management
    • Care Management Programs
    Clinical Corner
    UM and Medical Management Preauthorization Lists Provider Portal Transaction Resources Plans with No Referrals (PDF) Preauthorization Contacts Utilization Management News Care Management Programs Care Management
    Vendor-Managed Utilization Management Programs Behavioral Health Services Chiropractic Program Durable Medical Equipment Physical and Occupational Therapy Program Pharmacy Services and Specialty Pharmacy
    Oncology Management Radiology-Related Programs and Privileging Rules for Non-Radiologists Spine and Pain Management Quality Improvement Programs and Resources Clinical Practice Guidelines
    Pharmacy Pharmacy News Formularies Pharmacy Medical Preauthorization List Enterprise Pharmacy Policies New Century Health — Medical Oncology Policies UM and Medical Management Pharmacy Services
    Medical Policies EmblemHealth Medical Policies ConnectiCare Medical Policies COVID-19 Updates COVID-19 Updates and Key Information You Need to Know
    Provider Quality Improvement

    Quality Improvement

    Find our Quality Improvement programs and resources here.

    Search Our Quality Improvement Page
  • Claims Corner
    • Claims Resources
    Claims Corner
    Claims Resources Fee Schedule Updates Hospital Readmission Policy (PDF) Electronic Claims Policy (PDF) In-Office Testing List
    Submissions Claims Contacts EmblemHealth Guide for Electronic Claims Submissions Timely Submissions Claims Submissions
    Reimbursement Policies Payment processes unique to our health plans Payment Integrity Policies How we pursue payment accuracy
    Coding EmblemHealth Guide for NPIs and Taxonomy Codes Benefits Vaccines for Children Program
  • Provider Manual
    Provider Manual
    Overview Directory Credentialing Member Identification Cards Member Policies and Rights 2022 Provider Networks and Member Benefit Plans
    Access to Care and Delivery System Health Promotion and Care Management Pharmacy Services EmblemHealth Spine Surgery and Pain Management Therapies Program Durable Medical Equipment Home Health Care
    SNF IRF LTAC Medical Transportation Procedures Utilization and Care Management Clinical Practice Guidelines Radiology Program Outpatient Diagnostic Imaging Privileging View All
    Look Up the Provider Manual

    Provider Manual

    Find the specific content you are looking for from our extensive Provider Manual.

    Search the Provider Manual
  • Dental Corner
    • Resources for Dental Providers
    Dental Corner
    Resources for Dental Providers Benefits to Participation in Dental Network Join Our Dental Network
    Welcome Dental Providers Find a Dentist
    Dentists Contact Us Update Your Practice Records
  • Sign in

EmblemHealth Formularies

  1. Home
  2. Home
  3. Clinical Corner
  4. Pharmacy
  5. EmblemHealth Formularies

We cover pharmacy benefit services for many of our members covering a wide range of prescription drugs. Select the applicable line of business below to navigate to the applicable formulary.

 

2023 EmblemHealth Formulary Changes
  • Medicaid Formularies
    Go to Medicaid Formularies
  • Medicare Formularies
    Go to Medicare Formularies
  • Commercial Formularies
    Go to Commercial Formularies

ALSO OF INTEREST

Formulary Updates Covering Medical Nutrition Therapy Pharmacy

Find a doctor or medical office

EmblemHealth logo in reverse colors
provider
  • blog
  • facebook
  • instagram
  • linkedin
  • twitter
  • youtube
  • Provider Manual
  • Claims Corner
  • Clinical Corner
  • Provider Resources
  • Find a Doctor
  • News and Updates
  • Provider Toolkit
  • Network Information
  • Blog
  • Legal
  • Contact Us
  • Locations
  • Legal Information
  • Careers

Access the EmblemHealth Portal

Sign In
  • Legal
  • Accessibility Statement
  • Privacy & Security Policies
  • Nondiscrimination Policy
  • Stop Fraud

Language Assistance:

  • Español
  • 中文
  • Pусский
  • Kreyòl
  • 한국어
  • Italiano
  • אידיש
  • বাংলা
  • Polski
  • العربية
  • Français
  • اردو
  • Tagalog
  • Ελληνικά
  • Shqip

© 2020 EmblemHealth. All Rights Reserved.

Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.

Enter your ZIP code:
Continue
>