The Empire Plan is a unique health insurance plan designed especially for public employees in New York State. Empire Plan benefits include inpatient and outpatient hospital coverage, medical/surgical coverage, Centers of Excellence for transplants, infertility and cancer, home care services, equipment and supplies, mental health and substance abuse coverage and prescription drug coverage.
KATHY HOCHUL
Governor
TIMOTHY R. HOGUES
Commissioner
NY25-14
PE25-10
PA25-09
SEHP25-07
TO: All Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: September 2025 Reporting On: Prescription Drugs
DATE: August 29, 2025
The Employee Benefits Division announces the updated September 2025 Reporting On: Prescription Drugs publication. The Reporting On publications describe specific programs and benefits available under The Empire Plan. They are informational handouts for new employees or enrollees who may be considering changing plans during Option Transfer.
Reporting On: Prescription Drugs (AL2096, September 2025) discusses the Empire Plan Prescription Drug Program, including Empire Plan Medicare Rx. Information regarding copayment levels, mandatory generic substitution, the Advanced Flexible Formulary Drug List, the Specialty Pharmacy Program and Drug Utilization Review is also included.
Distribution
We will not be mailing the Reporting On: Prescription Drugs publication to enrollee homes.
Publications Available on Our Website: www.cs.ny.gov/employee-benefits
Please check our website for new publications under Using Your Benefits. Publications are generally posted online after they have been printed.
Ordering Publications
You may order copies of the September 2025 Reporting On: Prescription Drugs on HBA Online under Publications & Forms beginning in early September. If you need help accessing HBA Online, contact the ITS Service Desk at 844-891-1786, fixit@its.ny.gov or via chat at https://chat.its.ny.gov. If you are unsure of how to order publications or have questions about this distribution, please email the EBD Communications Unit at communications@cs.ny.gov.