| Retail Pharmacy Services (Pharmacies) |
Prime Therapeutics Pharmacy Services:
|
| Clinical Pharmacy Services (Providers) |
| EmblemHealth: Refer to Who to Contact for Preauthorization. Online: Sign in to the provider portal and use the Message Center to send us your inquiry. |
| Express Scripts, Inc. Home Delivery: Physicians may call Express Scripts for any home delivery pharmacy questions at 888-327-9791. |
| Amazon Pharmacy Home Delivery: Physicians may call Amazon Pharmacy for any home delivery pharmacy questions at 855-206-3605. |
Accredo (Express Scripts specialty pharmacy)*: *For Local 246, NYPD Line of Duty Injury (LODI), Uniformed Sanitationmen's Association (USA), HIP HMO Preferred, NYCE PPO, and all Medicare members only. |
Advocate+™ Pharmacy Match specialty program*: *For all fully insured EmblemHealth plans (i.e. Child Health Plus, Essential Plan, Individual and Family, LG and SG, and NYSHIP) and EmblemHealth/AdvantageCare employees. |
| Pharmacy Member Services |
| EmblemHealth Commercial Member Services: 877-793-6253, Monday through Friday, 8 a.m. to 6 p.m.; Saturday and Sunday 10 a.m. to 1 p.m. TTY/TDD: 711 Online: Sign in to the member portal and use the Message Center to send us your inquiry. |
| EmblemHealth Medicare Member Services: 877-444-7097, Monday through Sunday, 8 a.m. to 8 p.m. TTY/TDD: 711 Online: Sign in to the member portal and use the Message Center to send us your inquiry. |
Amazon Pharmacy Home Delivery:
24 hours a day, 7 days a week *Child Health Plus members will continue to use Express Scripts Home Delivery. Express Scripts Home Delivery:
24 hours a day, 7 days a week |
| Medicare Prescription Drug Plans – Contacts | ||
| Benefit Plans | All Correspondence (e.g., claims, billing, and member ID card questions) | Pharmacy Coverage and Determinations |
|---|---|---|
EmblemHealth Medicare HMO |
EmblemHealth Medicare HMO Call: 877-344-7364 |
Prime Therapeutics Call: 866-799-7781 |
EmblemHealth Medicare PDP (City of New York) |
Prime Therapeutics Call: 833-998-5351 |
Prime Therapeutics Call: 833-998-5351 |
EmblemHealth Medicare PPO |
EmblemHealth Medicare PPO 55 Water St. Call: 866-557-7300 |
EmblemHealth Medicare PPO Call: 866-799-7781 |