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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.

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 2024 Independent Health Drug Formulary I
 

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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 2024 Independent Health Drug Formulary II


Independent Health's Drug Formulary III

The following information applies to small group plans available directly from Independent Health. 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 2024 Independent Health Drug Formulary III


Independent Health’s FEHB Drug Formulary

The following information applies to plans offered through Federal Employees Health Benefits (FEHB). Check your summary of benefits to ensure this formulary is associated with your plan prior to using your prescription drug benefit.

View the 2024 FEHB Drug Formulary


Formulary (Drug List) Changes

This list contains both upcoming and past changes to Independent Health's employer and individual/family formularies.

View our Formulary Changes

Independent Health Medicare Advantage Plans

View our Medicare Advantage Plan drug formularies

Independent Health’s Child Health Plus Formulary
The following information applies to Independent Health’s New York State Sponsored Child Health Plus plan. Check your summary of benefits to ensure this formulary is associated with your plan prior to using your prescription drug benefit.

View the 2024 Child Health Plus Drug Formulary


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

View the 2024 Essential Plan Formulary

 

MediSource and MediSource Connect prescriptions are covered through NYRx, the Medicaid Pharmacy Program. Information about NYRx, the Medicaid Pharmacy Program, can be found here.

In some cases, Independent Health requires that you first try certain drugs to treat your medical condition before we will cover another drug for that condition:

View the 2024 Step Therapy Criteria (Employer & Individual/Family)

View the 2024 Step Therapy Criteria (Child Health Plus)

Certain drugs have a quantity limit, which means we’ll provide coverage only up to the limit specified:

View the 2024 Quantity Limits Criteria (Employer & Individual/Family)

View the 2024 Quantity Limits Criteria (Child Health Plus)

Vials of Pills

Don’t See Your Drugs Covered?

Fill out our Request for Pharmacy Drug Authorization 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 National Pharmacy Network