What should I do if I am taking one of the medications being excluded from the Empire Flexible Formulary Drug List, or being moved from Level 2 to Level 3?
The Empire Plan Flexible Formulary Drug List allows enrollees and their doctors to choose from a wide variety of prescription drugs. Please talk with your doctor about prescribing a drug that is on the Empire Plan Flexible Formulary. There may be a less expensive Level 1 or Level 2 drug that meets your needs. If a medication is selected that is not on the Empire Plan Flexible Formulary, you will be responsible for the Level 3 copay. If you continue to use a medication that has been excluded from coverage under the Empire Plan Flexible Formulary and benefit plan design, the Empire Plan will provide no benefit and you will be responsible for paying the total retail cost of the drug. Remember, there are clinical therapeutic alternatives available for all drugs excluded from coverage under the Empire Plan Flexible Formulary and plan design. Please discuss these alternatives with your doctor.
Related Questions
- What should I do if I am taking one of the medications being excluded from the Empire Flexible Formulary Drug List, or being moved from Level 2 to Level 3?
- How will enrollees using one of the medications being excluded from the Flexible Formulary Drug List, or being moved from Level 2 to Level 3, be notified?
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