To see the list of drugs covered by your EmblemHealth plan — also known as a formulary — locate your plan name or the letter identifiers in the “Formulary” section on the front of your member ID card, which will match the options below. You can also use the Prime Therapeutics lookup tool to find covered drugs.
Drug List
Which Drugs Are Covered by My Plan?
Drug Management Programs
For the safe and cost-effective use of prescription medicines, plans include programs for preauthorization, drug quantity management, step therapy, and specialty drugs.
Additional Resources
Learn about your pharmacy coverage, download prescription drug claim forms, and more.
Find the definition of copays, deductibles, coinsurance, and more in our helpful glossary.
A form to submit claims for EmblemHealth prescriptions.
2026 claim form coming soon.
