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Premier Health Plan is focused on meeting the health care needs of children and adults. Premier Option, Premier Option Plus and Child Health Plus are New York State-sponsored health insurance plans for eligible children and adults at little or no cost.

Prescription Drug Tools & Resources
Premier Health Plan uses a drug formulary for prescription drugs for Premier Option, Premier Option Plus and Child Health Plus members. It lists the prescription drugs that we cover. All generic drugs and brand-name drugs listed on the formulary are covered. If your doctor writes a prescription for a drug that is not listed on the formulary, it is considered "non-formulary." Non-formulary drugs are generally not covered.
  • Find a Pharmacy
    • Fill Prescriptions by Mail or Online with Express Scripts Home Delivery Pharmacy
    • Specialty Pharmacies - Certain prescription drug benefits require that select specialty medications must be purchased from one of our participating specialty pharmacies in order to receive coverage under the prescription drug benefit.
      Attention Premier Option members! You have the right to use a retail pharmacy in our network that has agreed to accept our rates to fill your specialty drug prescription. All you need to do is bring a prescription for the drug to a pharmacy that has accepted our rates and they will help you. You may also continue to use our specialty pharmacies: Accredo Health or Walgreens Specialty Pharmacy and your drugs will be sent to your home. (Effective August 1, 2013, Walgreens retail pharmacies no longer participate with the Premier Option benefit plan.)
  • View or Print Formularies, Medication Lists & Forms
  • Provider Directories:
  • Premier Option Plus
    • Premier Option Plus is a Health and Recovery Plan, or HARP, approved by New York State. Premier Option Plus is a new kind of plan that provides Medicaid members with specific behavior health needs, with an enhanced benefit package so they can receive their health care, plus care for behavioral health such as mental health, substance use disorder and rehabilitation from one integrated plan. Learn More
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  • Health Risk Assessment
  • Contact Us
    • Customer Service Phone Number 1-800 -650-4359 (TTY: 1-800-421-1220)
    • Hours: Monday - Friday: 8 am - 6 pm EST

    • Pharmacy Help Desk Phone Number: 1-800-922-1557 (TTY: 1-800-421-1220)
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