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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.

Formulary Documents

Use these formulary lists to determine what prescription drugs your plan covers and the copayment level, as well as what drugs require Prior Authorization (PA) or are on the Specialty Pharmacy or Excluded Drug lists.

Advanced Flexible Formulary


Comprehensive Formulary


Specialty Pharmacy Drug List


Prior Authorization Drug List


Excluded Drug List