2021 EMPIRE PLAN FLEXIBLE FORMULARY DRUG LIST

Your specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance in this document. For specific information, visit https://www.empireplanrxprogram.com or call 1-877-7-NYSHIP (1-877-769-7447) and select option 4 for the Empire Plan Prescription Drug Program. 1 January 2021 Updated 12/15/2020 ................
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