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.

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)
Medicare Prescription Drug Plans – Contacts
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

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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.

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