2025 New York Select Drug Lists
The New York Drug List is a list of prescription medications approved by
the U.S. Food and Drug Administration (FDA). We’ve reviewed these drugs through
our Pharmacy and Therapeutics (P&T) Process, which considers a drug’s:
- Effectiveness
- Safety
- Similarity to other drugs within
a therapeutic class
- Affordability
PLEASE NOTE: Your coverage has
limitations and exclusions. This means that some drugs on this list may
not be covered, depending on your plan’s design. For example, your
plan might not cover certain drugs for cosmetic uses or to treat conditions
such as weight loss, infertility, or erectile dysfunction. To find out if your
drug is covered, log into your member portal or use the Sydney app to Price a Medication and refer to your plan documents.
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.)
Anthem BlueCross BlueShield with
contraceptives
Anthem BlueCross BlueShield without contraceptives
Anthem BlueCross with contraceptives
Anthem BlueCross without contraceptives
For a
summary of formulary changes from 2024 to 2025, click here: Anthem Blue Cross or Anthem Blue Cross Blue Shield
To our
providers: Our
electronic prior authorization (ePA) process is the preferred method for
submitting pharmacy prior authorization requests. Creating an account is free,
easy and helps patients get their medications sooner. You can complete the
process through your current electronic health record/electronic medical
record/electronic medical record (EHR/EMR) system or by using one of these ePA
sites:
Log in to Surescripts®
Log in to CoverMyMeds®
This drug search tool will be updated at least
quarterly.