DOH: Medicaid Mc Pharmacy Benefit Info Website

NYAPRS Note: The NYS Department of Health has announced the release of the New York State Medicaid Managed Care and Family Health Plus Pharmacy Benefit Information Website, developed in partnership with the State University of New York at Stony Brook. This initial phase of the website release is intended to provide easy access for members and providers looking for information on the drugs and supplies covered by different Medicaid and Family Health Plus managed care health plans.  In the near future, the Department plans to release phase two of the project, which will allow interactive comparison of coverage searches. The Pharmacy Benefit Information Website is available at: http://pbic.nysdoh.suny.edu. Here’s a view of its homepage, which has active links to each health plan.

 

This website is designed to provide easy access for members and providers looking for information on the drugs and supplies covered by different Medicaid and Family Health Plus health care plans. While pharmacy benefits and participating pharmacies vary among health plans, all plans maintain their own web sites and customer service call centers.

To use this website, you should first check your health plan identification card and match it to the one presented on this website. By clicking on the appropriate identification card/logo you will be provided with contact numbers and links to your health plan's website. If you do not have your health plan identification card or do not know what health plan you are enrolled in, call the Medicaid Helpline at 1-800-541-2831 from 8am through 8pm, Monday through Friday and from 9am to 1pm on Saturday.

 

Managed Care Plans

Affinity Health Plan

Amida Care

Health Now

Capital District Physicians Health Plan

Emblem Health

Excellus BCBS Health Plan

Fidelis Care

HealthFirst

HealthPlus Amerigroup

Hudson Health Plan

Independent Health

MetroPlus Health Plan

MVP

Neighborhood Health Providers

Total Care

UnitedHealthcare

Univera Community Health

Visiting Nurse Service of NY Choice Health Plans

WellCare Health Plans

 

 

Contact Information

For questions regarding your eligibility or to find out which managed care plan you are enrolled in, you may call the Medicaid Helpline at 1-800-541-2831 from 8am through 8pm, Monday through Friday and from 9am to 1pm on Saturday.

If any of the links you click fail to direct you to a specific page, please email PPNO@health.state.ny.us .