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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.

Empire Plan Advanced Flexible Formulary Documents

Use the formulary lists below to determine which prescription drugs are covered, are excluded, require prior authorization or must be ordered through a specialty pharmacy under your plan. Copayment levels are noted for covered drugs.

Comprehensive Formulary


Preferred Drug List


Specialty Pharmacy Drug List


Prior Authorization Drug List


Excluded Drug List