Medicare Formularies

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At EmblemHealth, we offer Medicare plans that cover a wide range of prescription drugs. Below is a complete list of all covered drugs in our comprehensive formularies. This list includes both generic and brand-name drugs, and they are listed in levels or “tiers”, based on cost. The lower the level or tier, the lower your cost for the drug will be.

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your prescriptions

Delivery and Refills

Find out how to set up home delivery or get a prescription refill.

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MTM Program

Medication Therapy Management

Find out if you qualify for this service, which is free for EmblemHealth Medicare plan members with Part D prescription drug coverage.

In general, beneficiaries must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances.

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Medicare Pharmacy

Additional Pharmacy Information

Learn more about what our over-the-counter debit benefit covers, how to get money back for a drug and more.

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Last Updated 10/01/2021

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