Read MANAGED CARE PLAN PHARMACY BENEFIT MANAGER AND FORMULARY INFORMATION text version

MANAGED CARE PLAN PHARMACY BENEFIT MANAGER AND FORMULARY INFORMATION

Managed Care Plan

Pharmacy Benefit Manager

Formulary Information

Affinity Health Plan

CVS Caremark

Link will be provided when formulary is posted by the plan.

The Amerigroup formulary can be accessed at: https://providers.amerigroupcorp.com/QuickTools/Pages/FormularyCa id.aspx The new Formulary and PDL is scheduled to be loaded on 9/9 that will be used for New York.

Amerigroup

CVS Caremark

Amida Care

Express Scripts (ESI)

Link will be provided when formulary is posted by the plan.

CDPHP's information is available at the following links: Formulary: http://www.cdphp.com/images/pharmacy/Medicaid-FHPFormulary.pdf General Rx Corner Information Page http://www.cdphp.com/members/rxinformation.aspx

Capital District Physicians Health Plan (CDPHP)

CVS Caremark

Emblem HIP Excellus BCBS Health Plan, Inc/ Premier Health Plan

EmblemHealth PBS/ HIP Health Plan of New York

Link will be provided when formulary is posted by the plan. Link will be provided when formulary is posted by the plan.

MedImpact Healthcare Systems, Inc

1 POSTED SEPTEMBER 9, 2011

MANAGED CARE PLAN PHARMACY BENEFIT MANAGER AND FORMULARY INFORMATION

Managed Care Plan

Pharmacy Benefit Manager

Formulary Information

Fidelis Care

CVS Caremark

Link will be provided when formulary is posted by the plan.

Below are links to the information you requested. If you have any questions, please let me know.

Providers: http://www.healthfirstny.org/provider/News.asp Members: (ID Cards and Formulary) http://www.healthfirstny.org/member/Medicaid-CHP-FHP-MemberMaterials-Forms.asp (Formulary) http://www.healthfirstny.org/bemember/Medicaid-Managed-Care.asp http://www.healthfirstny.org/bemember/Family-Health-Plus.asp (Member Notice and FAQ) http://www.healthfirstny.org/bemember/Medicaid-Benefits.asp http://www.healthfirstny.org/bemember/Family-Benefits.asp

HealthFirst

Express Scripts (ESI)

HealthPlus

MedImpact Healthcare Systems, Inc

Link will be provided when formulary is posted by the plan.

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MANAGED CARE PLAN PHARMACY BENEFIT MANAGER AND FORMULARY INFORMATION

Managed Care Plan

Pharmacy Benefit Manager

Formulary Information

The link that BlueCross BlueShield of WNY (HealthNow Inc.) will be using is the following: www.bcbswny.com/nysdrug

HealthNow Inc

Medco Health Solutions

The link is currently active but the information at this time indicates it is coming soon. Our PBM is actively working on a PDF version of the formulary that was approved by the state. We ensure it will be on the website no later than 10/1.

HIP Health Plan of New York Hudson Health Plan

EmblemHealth PBS/ HIP Health Plan of New York MaxorPlus

Link will be provided when formulary is posted by the plan.

http://www.maxorplus.com/hhp

The MediSource and Family Health Plus formulary page is live. https://www.independenthealth.com/portal/site/IndependentHealth/ menuitem.f9fa65264313696a818e6c1020a08a0c/ ?vgnextoid=d77aaf6fda522310VgnVCM100000113110acRCRD&vgn extchannel =0ea2be3e4e777110VgnVCM100000020aa8c0RCRD

Independent Health

Independent Health

The formularies can be found under "Useful Links" https://www.independenthealth.com/portal/site/IndependentHealth/ And we also have a link directing back to the formularies posted here. https://www.independenthealth.com/portal/site/IndependentHealth/ menuitem.ae5305ad8c7bdd1ae794441020a08a0c/?vgnextoid= de4cbff3bef2f110VgnVCM100000113110acRCRD&vgnextchannel= af19dabb340d7110VgnVCM100000020aa8c0RCRD

3 POSTED SEPTEMBER 9, 2011

MANAGED CARE PLAN PHARMACY BENEFIT MANAGER AND FORMULARY INFORMATION

Managed Care Plan

Pharmacy Benefit Manager

Formulary Information

MetroPlus Health Plan

CVS Caremark

The formulary we will be using for our Medicaid/FHP/SNP products as of 10/1/11 can be found at: http://www.metroplus.org/docs/formulary/MetroPlus%20Medicaid%20 FHP%20HIV%20Formulary.pdf We will be posting additional pharmacy-related information on our website on or around September 15, 2011

MVP

Medco Health Solutions

Below is a link to our Medicaid MC and Family Health Plus formulary. http://www.mvphealthcare.com/pharmacy/documents/option_formular y.pdf

Neighborhood Health Providers NY Presbyterian System SelectHealth

Express Scripts (ESI)

Link will be provided when formulary is posted by the plan.

The formulary for NewYork-Presbyterian System SelectHealth can be found our our website: http://www.nyp.org/selecthealth. The pharmacy network will be added to the web-site shortly.

CVS Caremark

Total Care

BioScrip

Link will be provided when formulary is posted by the plan.

4 POSTED SEPTEMBER 9, 2011

MANAGED CARE PLAN PHARMACY BENEFIT MANAGER AND FORMULARY INFORMATION

Managed Care Plan

Pharmacy Benefit Manager

Formulary Information

United does not yet have all the materials posted for our Medicaid & FHP membership, but they are exactly what is available for our CHP membership. http://www.uhccommunityplan.com/plan/details/NY/31/MEDICAID/pla n-details This is the member link, members can choose find a pharmacy or find a drug http://www.uhccommunityplan.com/healthprofessionals/NY/pharmacy-program This is the provider link to the pharmacy information, including the PDL and prior auth forms.

UnitedHealthcare

Prescription Solutions

Univera Community Health, Inc WellCare Health Plans, Inc

MedImpact Healthcare Systems, Inc CatalystRx

Link will be provided when formulary is posted by the plan. Link will be provided when formulary is posted by the plan.

5 POSTED SEPTEMBER 9, 2011

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MANAGED CARE PLAN PHARMACY BENEFIT MANAGER AND FORMULARY INFORMATION

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