Specialty Pharmacy Program Match

On Jan. 1, 2026, EmblemHealth launched the Advocate+™ Pharmacy Match program in collaboration with our new pharmacy benefit manager Prime Therapeutics™ and Free Market Health (FMH). FMH is an independent health care technology company that uses dynamic market pricing data to determine the most cost-effective pharmacy option for applicable members. 

The program matches eligible commercial members* to the best specialty pharmacy for them. Some members, including our Medicare members, will continue to receive standard specialty medications from Accredo.

Getting Started

The following is a summary of the process to submit e-prescriptions for members in the Advocate+ program: 

1. Prescribers should select FMH Pharmacy and use the following details when submitting e-prescriptions for specialty medications: 
   
   FMH Pharmacy 
   NPI: 1366292880
   Fax: 833-998-4435
   Phone: 412-755-3241
   Email: contact@fmhpharmacy.com
   Address: 40 24th St., Suite 150, Pittsburgh, PA 15222
   
   
2. Continue using the standard CoverMyMeds prior approval process, if applicable.
3. If a requested specialty medication is approved, FMH will assign and transfer the prescription to a pharmacy(ies)** that their proprietary system has identified.
4. FMH will fax the prescriber the assigned pharmacy(ies).
5. The assigned specialty pharmacy(ies) will contact the member to begin onboarding and coordinate delivery.

See the Pharmacy and Specialty Pharmacy chapter of the Provider Manual for more information or call FMH provider support at 877-787-0520. You may also email prescribers@freemarkethealth.com if you have questions. 

*The new program applies to all fully insured EmblemHealth plans (i.e., Child Health Plus, Essential Plan, individual and family, NYSHIP, large group and small group) and all EmblemHealth and AdvantageCare Physicians employees. Accredo will remain the specialty pharmacy provider for the following: New York City Employees PPO plan (NYCE PPO), Local 246, NYPD Line of Duty Injury, Uniformed Sanitationmen's Association, and HIP HMO Preferred.

**Note: Members using multiple specialty medications may be matched with more than one specialty pharmacy provider. Once a match is made, refills are handled with that matched specialty pharmacy for one year.