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Healthfirst
100 Church Street
New York, NY 10007

Want to become a Healthfirst member? Have a question about our benefits?

Contact us at:

Medicaid, Child Health Plus, and Family Health Plus
1-866-463-6743

Medicare
1-877-237-1303
TDD/TTY English
1-888-542-3821
TDD/TTY Español
1-888-867-4132
Monday-Friday, 8:30 am to 6 pm

Already a Healthfirst member? For answers to your questions, contact us at:

Medicaid, Child Health Plus, and Family Health Plus
1-866-463-6743
Monday - Friday, 8 am to 6 pm

Medicare
1-888-260-1010
TDD/TTY English
1-888-542-3821
TDD/TTY Español
1-888-867-4132
Monday - Sunday, 8 am to 8 pm

Leaf Plans
1-888-250-2220
TDD/TTY English
1-888-542-3821
TDD/TTY Español
1-888-867-4132
Monday - Friday, 8 am to 8 pm

Healthfirst Small Group and Healthy NY Small Group
1-888-260-1010
TDD/TTY English
1-888-542-3821
TDD/TTY Español
1-888-867-4132
Monday - Friday, 8 am to 8 pm


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Using Your Pharmacy Benefits

Getting your prescription medicines has never been easier – with CVS CareMark.

Need a prescription medicine? Here are 6 simple steps to help you get the most out of your Healthfirst Pharmacy Services benefits.

How to Fill a Prescription

Pharmacy benefits are different in each Healthfirst health plan or program. Please check your specific health insurance plan or program for more information on which pharmacy medicines and other items are covered.

 

To get the most out of your pharmacy benefits, there are a few key steps you should take:

 
01

When you visit your doctor, you may get prescriptions for certain medicines.

 

 

02

Ask your doctor if your medicines are covered by your Healthfirst plan or program. You can also learn which drugs are covered on our formulary (list of covered medicines), and if there is a copay when you pick up your medicines.

 

 

03

If the drug is on our list, check whether there are any limits such as:

  • Step Therapy: We may ask you to try one medicine to treat your illness before we will cover a different medicine.

  • Prior Authorization: Your doctor will need to provide supporting information to determine if it is medically necessary to your health and a determination will be made if the drug will be covered.

  • Quantity Limits: There may be a limit to how much of the medicine we will cover.

In some cases, you may need to ask for an “exception” when you need a medicine we do not cover. If you have questions, talk to your doctor or give us a call. We’re here to help.

 

 

04

Take your prescription to one of our network pharmacies. If you have Medicaid, take it to any pharmacy that accepts Medicaid.

 

 

05

Give the prescription to the pharmacist. Also, give them your Healthfirst ID card (or Medicaid card).

 

 

06

If there is a copayment, you will need to pay the pharmacy. You should not pay more than your copayment, unless the drug is not covered by your plan or program

What are Generics? Click here for this and other answers to questions you may have about Pharmacies and Medicine.

 

Last update 2014-02-24 09:48