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): |
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: |
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):
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 |
EmblemHealth Medicare HMO |
EmblemHealth Medicare HMO |
EmblemHealth Medicare PDP |
EmblemHealth |
EmblemHealth Medicare PDP |
EmblemHealth Medicare PDP |
EmblemHealth Medicare PDP (City of New York) |
Express Scripts Medicare |
EmblemHealth Medicare PDP |
EmblemHealth Medicare PDP |
EmblemHealth Medicare PPO |
EmblemHealth Medicare PPO |
EmblemHealth Medicare PPO |
EmblemHealth Medicare PPO |