Pharmacy Services

Click the categories below for important pharmacy documents and resources. 

Child Health Plus (CHP), HealthierLife (HARP), and Medicaid Managed Care

2018 Formulary (PDF)

Quick reference list (PDF)

Metal-Level Products

2018 Formulary (PDF)

2017 Formulary (PDF)

Essential Plan

2018 Formulary (PDF)

2017 Formulary (PDF)

Metal-Level Products and Essential Plans Formulary Changes: Effective January 1, 2018 (PDF)

Fully Integrated Duals Advantage (FIDA), (Medicare-Medicaid Plan [MMP]) Formulary

2017 Formulary (PDF)

Provider Access Online

Verify member eligibility/renewal, check claims status, and more.

Manuals and Forms

Provider manuals, tip sheets, important forms, and applications. 

Authorization Grids

Authorization Grids for Medicare, Medicaid, Child Health Plus, and NY State of Health Marketplace plans.