EmblemHealth is committed to helping our Medicare population manage their medication costs.
Starting Aug. 18, 2025, when we identify potential cost-saving prescriptions for our members, we will fax the member’s information and the cost-saving alternative(s) to the prescribing provider for consideration.
The prescriber will need to review, complete, and fax the included form back to us to authorize the recommended change or indicate why the switch is not appropriate.
Exception for controlled substances
To accept the recommended change for a controlled substance, the prescriber will need to both fax the authorization order form back to us AND send the prescription change via electronic health record directly to the member’s pharmacy.
JP 69957