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Medicare
Pharmacy Resources

Helpful Information and Resources

Learn more about your benefits below. Still have questions? We’re here to help. For pharmacy support, call EmblemHealth Customer Service at the number on your member ID card.

Not a Medicare member? View our pharmacy resources for our under 65 plans.

Formularies and Rx Cost Calculator

View covered drugs, estimate costs, find a pharmacy, and explore ways to save.

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Home Delivery and Refills

Get your medicines delivered straight to your door, sometimes on the same day.

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Over-the-Counter (OTC) Benefit

If your plan includes an OTC benefit, you can get coverage for items like hand sanitizer, cold medicines, vitamins, dental care items, and more.

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Support Programs

Medication Adherence

Taking your medication as directed by your doctor or pharmacist is one of the most important things you can do for your health. EmblemHealth offers many tools and resources to help you stay on track.

Medication Therapy Management (MTM) Program

The MTM Program helps you and your doctor make sure that your medications are working to improve your health. It can also help prevent any issues with your medications.

Drug Management Program (DMP) and Opioids

Our Drug Management Program (DMP) helps our Medicare members safely use their prescription opioid medicines or other medicines that are frequently abused.

Pharmacy Support

Questions? We're here to help.

Call EmblemHealth Customer Service at the number on your member ID card.

Grievance & Appeals: Find out how to file a grievance or appeal, request coverage determinations, and more.

Last Updated: 10/01/2025

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