2017 New York Select Drug Lists
Search by medication name for up-to-date drug information, including the benefit tier your drugs are on, as well as applicable clinical edits such as prior authorization or step therapy requirements.
You can also view the full drug lists here. (Some pages of these documents are intentionally left blank.)
Empire BlueCross BlueShield with contraceptives
Empire BlueCross BlueShield without contraceptives
Empire BlueCross with contraceptives
Empire BlueCross without contraceptives
Your coverage has limitations and exclusions, which means that some drugs on this list may not be covered, depending on your plan’s design. To find out more, please refer to your Certificate/Evidence of Coverage or your Summary Plan Description.
To our providers: Click here to initiate an electronic prior authorization (ePA) request.