The New York State Health Insurance Program (NYSHIP) has implemented early refill overrides and/or extended-day supply requirements on 30-day prescription maintenance medications to have an extra 1-month supply of medication on hand. Member cost sharing will apply as normal.
The Empire Prescription Drug Program is administered through CVS Caremark. The Plan offers a three-tier copayment for generic, preferred brand name and non-preferred brand name medications. The information provided in the Drug PDF lists below is subject to change. To ensure you have the most recent information concerning the drugs covered, please contact The New York State Health Insurance Program (NYSHIP) at 1-877-769-7447 and select the prompt for CVS Caremark for specific prescription drug plan information.
Please see the links below for more information about drug coverage benefits.
Empire Plan Prescription Claim Form, CVS Caremark (pdf)
CVS Caremark Prescription Mail Order Form (pdf)
2021 Advanced Flexible Formulary (pdf)
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