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WHAT’S NOT COVERED?
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-Syringes and needles.

-Immunizing agents.

-Biological sera, blood or blood plasma except immune globulin when medically necessary.

-Experimental or investigational drugs.

-Drugs used for cosmetic purposes.

-Contraceptive devices, diaphragms, contraceptive jellies and ointments, foams.

-Devices prescribed for any reason

-Any items that do not require a perscription to obtain.


WHERE CAN YOU GET YOUR RX’S FILLED?


At any “
-At the “
-For additional assistance please call our toll free number (800)964-1888 to speak to a customer service representative.


HOW MUCH WILL THIS COST?



The New York State Prescription Drug Program is a generically enforced program. You will pay your usual copayment for a generic equivalent, or the brand name drug, if a generic is not available. When your doctor has indicated that your pharmacy may not substitute an available generic product, you will pay your copayment PLUS the difference between the cost of the brand and generic drug. If your doctor feels there is a medically necessary reason why you must have the brand name drug, that has a generic equivalent, you may request an appeal to the mandatory substitution requirement. Call 1-(800) 964-1888 to obtain a generic appeal form, If the appeal is approved you will be responsible for only the usual copayment.

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