Pharmacy Services

Retail Pharmacy Services (Pharmacies)
EmblemHealth Pharmacy Services:
(877) 793-6253
, 24 hours a day, 7 days a week

 

Clinical Pharmacy Services (Providers)

EmblemHealth:
(877) 362-5670
, Monday through Friday, 8 a.m. to 6 p.m.

Express Scripts, Inc. (ESI):
(home delivery for all plan members except for state and federal employees and retirees with GHI coverage)
Physicians may call in new prescriptions to Express Scripts at (888) 327-9791.

Specialty Pharmacy Program:
(888) 447-0295
, Monday through Friday, 8:30 a.m. to 5 p.m.
Accredo:
855-216-2166
, Monday to Friday, 8 a.m. to 11 p.m.; Saturdays, 8 a.m. to 5 p.m.

 

Pharmacy Benefit Services (Members)

EmblemHealth: 
(for all members with the exception of GHI retirees and city, state and federal employees with GHI coverage) 
(877) 793-6253, Monday through Friday, 8 a.m. to 8 p.m.
TTY/TDD: 711

Medicare Pharmacy Line:
(for providers and Medicare members excluding retirees and city, state and federal employees with GHI coverage)
(877) 444-7097, Monday through Sunday, 8 a.m. to 8 p.m.
TTY/TDD: 711

Medicaid Pharmacy Line: 
(for providers and Medicaid members)
(888) 447-7364, Monday through Friday, 8 a.m. to 8 p.m.
TTY/TDD: 711
GHI Customer Service:
(for GHI retirees and city, state and federal employees with GHI coverage)
(800) 624-2414, Monday through Friday, 8 a.m. to 8 p.m.
If calling from New York City, members may also call (212) 615-4444.
TTY/TDD: 711

Express Scripts, Inc. (ESI):
(home delivery for all plan members except for state and federal employees and retirees with GHI coverage)

  • (877) 866-5798 (Commercial members excluding all City of New York Commercial members)
  • (877) 866-5828 (EmblemHealth Medicare members excluding all City of New York Medicare members)
  • (877) 866-4165 (EmblemHealth Medicaid members)
  • (866) 211-8379 (New York State of Health)
  • (877) 534-3682 (City of New York Commercial members)
  • (800) 585-5786 (City of New York Medicare members)
  • 711 (for users of TDD/TTY)

24 hours a day, 7 days a week

Physicians may call (888) 327-9791 for instructions on how to fax a prescription to ESI. In addition, members can speak to a registered pharmacist for medication counseling.



Medicare Prescription Drug Plans – Contacts
Benefit Plans All Correspondence (e.g., claims, billing, and member ID card questions) Pharmaceutical Coverage Determinations Exceptions
(e.g., drugs not listed in formulary requiring Preauthorization)

EmblemHealth Medicare HMO

EmblemHealth Medicare HMO
Attn: Customer Service
55 Water Street
New York, NY 10041-8190
Call 877-344-7364 Fax 212-510-5373

EmblemHealth Medicare HMO
Attn: Clinical Pharmacy Services
55 Water Street
New York, NY 10041
Call 877-444-7097
Fax 877-300-9695

EmblemHealth Medicare HMO
Attn: Clinical Pharmacy Services
55 Water Street
New York, NY 10041
Call 877-444-7097 Fax 877-300-9695

EmblemHealth Medicare PDP

EmblemHealth
Medicare PDP
Attn: Customer Service
P.O. Box 2820
New York, NY 10116-2820
Call 877-444-7241
Fax 212-510-5373

EmblemHealth Medicare PDP
Attn: Clinical Pharmacy Services
55 Water Street
New York, NY 10041
Call 877-444-7097
Fax 877-300-9695

EmblemHealth Medicare PDP
Attn: Clinical Pharmacy Services
55 Water Street
New York, NY 10041
Call 877-444-7097 Fax 877-300-9695

EmblemHealth Medicare PDP (City of New York)

Express Scripts Medicare
Attn: Grievance Resolution Team
P.O. Box 3610
Dublin, OH 43016-0307
Call 800-585-5786

EmblemHealth Medicare PDP
Attn: Clinical Pharmacy Services
55 Water Street
New York, NY 10041
Call 888-447-8175 Fax 877-300-9695

EmblemHealth Medicare PDP
Attn: Clinical Pharmacy Services
55 Water Street
New York, NY 10041
Call 888-447-8175 Fax 877-300-9695

EmblemHealth Medicare PPO

EmblemHealth Medicare PPO
Attn: Customer Service 55 Water Street
New York, NY 10041-8190
Call 866-557-7300
Fax 212-510-5373

EmblemHealth Medicare PPO
Attn: Clinical Pharmacy Services
55 Water Street
New York, NY 10041-8190
Call 877-444-7097
Fax 877-300-9695

EmblemHealth Medicare PPO
Attn: Clinical Pharmacy Services
55 Water Street
New York, NY 10041-8190
Call 877-444-7097
Fax 877-300-9695