Drugs Covered

Drugs Covered

Independent Health Drug Formularies are lists of drugs that are covered under your plan. Formulary drugs are medications recommended by the Independent Health Pharmacy & Therapeutics Committee. These drugs are selected based on a quality evaluation of safety, effectiveness, unique qualities and costs.

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Essential Benefits Plan Formulary

The following information applies to plans offered through the Essential Benefits Plan. Check your summary of benefits to ensure this formulary is associated with the your plan prior to using your prescription drug benefit.

View the Essential Benefits Plan Formulary

Independent Health's Drug Formulary I

The following information applies to plans offered through large group. Check your summary of benefits to ensure this formulary (Drug Formulary I) is associated with the plan offered to you by your employer prior to using your prescription drug benefit.

View the 2016 Independent Health Drug Formulary I

 

Independent Health's Drug Formulary II

The following information applies to plans offered through the NY State of Health: The Official Health Plan Marketplace – for individuals through the Individual Marketplace. This information also applies to Independent Health plans offered to individuals directly, not through the marketplace. Check your summary of benefits to ensure this formulary (Drug Formulary II) is associated with your plan prior to using your prescription drug benefit.

View the 2016 Independent Health Drug Formulary II

 

Independent Health's Drug Formulary III

The following information applies to small group plans available directly from Independent Health, as well as those offered through the NY State of Health: The Official Health Plan Marketplace – for small businesses through the Small Business Marketplace. Check your summary of benefits to ensure this formulary (Drug Formulary III) is associated with your plan prior to using your prescription drug benefit.

View the 2016 Independent Health Drug Formulary III

 

Independent Health’s Medicare Advantage Plans

View our Medicare Advantage Plan drug formularies

Have MediSource or Child Health Plus? Independent Health covers the pharmacy benefits associated with your plan.

 

View the 2016 MediSource (Medicaid) and Child Health Plus Drug Formulary

Behavioral Health Carve-In

Important pharmacy benefit Information regarding pharmacy benefits for MediSource and Child Health Plus:

 
  • Please use your Independent Health ID card at the pharmacy to receive your prescriptions, not your Medicaid benefit card.
  • You must use a pharmacy that accepts Independent Health coverage. If your pharmacy does not take Independent Health, you may need to get new prescriptions from your doctor to take to a pharmacy that takes Independent Health.
  • Not every drug will be covered on the formulary. If a medication is not covered, you or your pharmacist may need to talk to your doctor about changing to a medication that is on our formulary.
Prescription pill bottles

Don’t See Your Drugs Covered?

Fill out our Formulary Exception Form.

Want to Get Your Meds Through the Mail?

Learn how to use our
Mail Order option.

Where Can You Fill a Prescription?

Find a listing of the in-network and chain pharmacies in our Retail Maintenance Medication Network.