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Pharmacy News

Welcome to the Pharmacy News page. Here you will find announcements and notifications regarding EmblemHealth’s Pharmacy programs.

You may sort by Date Issued or Title. You may also enter a keyword to search for a story.

Date Issued (YYYY/MM/DD) Title
2024/04/16 Site of Service Medical Policy – Infusions and Injectables and Preauthorization Lists Updates Starting July 15, 2024
2023/11/16 Improve Patient Safety With Opioid Prescribing Practices
2023/11/01 2024 EmblemHealth Formulary Changes
2023/06/13 DRUG ALERT – Concurrent Use of GLP-1 and DPP-4 Agents
2023/02/14 Medicaid Pharmacy Benefit Transition
2023/01/17 Biosimilars: Are They the Same Quality?
2023/01/01 2023 Medicare Cost-Sharing for Insulin and Part D Vaccines
2022/10/31 2023 EmblemHealth Formulary Changes 
2022/05/19 New Commercial Plan Site of Service Coverage Rules for Maintenance Infusions
2021/12/15 2022 EmblemHealth Formulary Changes
2021/09/16 Home Infusion Utilization Management
2021/09/15 Pharmacy Balance Billing for EmblemHealth Dual-Eligible Members
2021/04/13 Pharmacy Services and Specialty Pharmacy
2021/01/01 Drugs Covered by EmblemHealth Health Plans | EmblemHealth
2021/02/12 Formulary Updates | EmblemHealth
2021/02/10 Notification: Pharmacy Utilization Management Services Starting January 1, 2021
2020/06/25 Biosimilar Preferred Product Update
2019/03/28 Vaccines for Children (VFC) Program
2020/01/22 Appropriate Use of Antibiotics for Children and Adults
2021/01/20 Learn about mandatory e-prescribing
2021/01/20 Pharmacy Services Contacts
2021/02/09 Frequently Asked Questions: EmblemHealth Oncology Drug Management
2020/12/02 Applying CDC’s Guideline for Prescribing Opioids
2021/06/10 Oncology Drug Program - Additional Codes Require Preauthorization Effective August 15, 2021
2021/09/02 Medicaid: Statewide Medication Assisted Treatment (MAT) formulary implementation for opioid dependence agents and opioid antagonists effective October 1,2021
2021/12/13 Coding Guidance for Pharmacies Updated for Medicaid At Home COVID-19 Testing Coverage
2022/06/28 New Pharmacy Medical Preauthorization List

JP56610 6/22

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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.