Hassle-free Administration.

Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.

Pharmacy Management

The Drug List/Formulary
The Empire Drug List/Formulary is Empire's preferred medication list and contains hundreds of drugs. It lists the most commonly prescribed medications selected by Empire's Pharmacy and Therapeutics Committee.  
Prior Authorization
Your patients can check this list if their drug(s) require prior authorization by you before a prescription can be filled.  
Prior Authorization Forms
Access prior authorization forms in order to help expedite the fulfillment of your patient’s prescription medication that requires prior authorization.  
Quantity Limits
This list outlines drugs within the Empire network that have a quantity limit attached.  
Prescription Home Delivery Form
To find this form, log in to your health plan website, visit the Pharmacy page, then select “View Your Pharmacy Benefits” to get to Express Scripts’ website. On the Express Scripts site, select the Blank Prescription Order Form from the Printable Forms section
Exclusive Specialty Drug List
These specialty drugs must be accessed through Empire’s in-network specialty pharmacy, Accredo, under the member’s pharmacy benefit. 
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