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Empowering Independent PharmaciesA national leader of pharmacy services support for independent pharmacies Become a MemberLearn More About EPIC Rx Member-owned and operated, EPIC Rx provides flexible solutions and hands-on resources so pharmacy members can preserve their independence while providing top-quality patient care for their communities and remain competitive in the marketplace.
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- Coverage Period
- How to Use Epic
- What Is Covered by Epic
- What Is Not Covered by Epic
- Participating Pharmacies
- Mail-Order Pharmacies
- Out-Of-State Travel
- Keeping Track of Your Drug Costs
- Renewing Your Epic Coverage
EPIC provides secondary coverage for Medicare Part D- and EPIC-covered drugs after any Part D deductible is met. EPIC also covers approved Part D-excluded drugs such prescription vitamins as well as prescription cough and cold preparations once a member is enrolled in a Part D drug plan. EPIC coverage runs from January 1st to December 31st of each ...
Show both your Medicare Part D drug plan and EPIC cards to your pharmacist. Tell your pharmacist that you have prescription coverage through both plans.Tell your pharmacist that your Medicare Part D drug plan is your primary prescription coverage, and all claims for prescription medications must be submitted to Medicare Part D first and then to EPIC.EPIC will cover Medicare Part D- and EPIC-covered drugs after any Medicare Part D deductible is met. EPIC will also cover approved Part-D excluded drugs once a member is enrolled in a Part D plan.For Part D- and EPIC-covered drugs after any Medicare Part D deductible is metor approved Part D-excluded drugs, EPIC will cover: 1. New prescriptions and refills; 2. Insulin, insulin syringes and needles; 3. Brand name and generic prescription drugs; 4. Quantities up to your Part D plan's limits.
Any drug purchases before a member joins EPIC;Any drug purchases before an EPIC member joins Part D;Any drug purchases made in the Medicare Part D deductible;Drugs not covered by Part D unless it is an approved Part D-excluded drug;You must use a participating pharmacy in New York State to receive EPIC benefits. You should choose a pharmacy that participates in bothEPIC and your Medicare Part D drug plan to maximize benefits. Check with your local pharmacy to be sure they are participating before making your purchase.
There are some mail-order pharmacies that participate with the New York State EPIC program. The mail-order pharmacy must participate with your Medicare Part D plan first. You need to do the following to determine if a mail-order pharmacy participates with your Medicare Part D plan and EPIC: 1. Contact your Part D plan and ask if they use a mail-ord...
When traveling outside of New York State, you should make sure to bring ample supplies of all medications you will need with you. You should contact your Part D drug plan before you leave to find out their policy on refilling prescriptions while you are out of the state. Please note that EPIC only pays for Part D- and EPIC-covered drugs after any M...
It is helpful for you to keep your receipts and a running total of your purchases. You will need to contact your Medicare Part D drug plan to ensure they have knowledge of all your purchases and to tell you where you stand with regards to your Medicare Part D drug coverage.
Every two years, we will request that you provide EPIC updated enrollment information to renew your coverage. You may be required to provide updated income documentation to EPIC.
People also ask
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Jul 30, 2019 · The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State program for seniors administered by the Department of Health. It helps more than 325,000 income-eligible seniors aged 65 and older to supplement their out-of-pocket Medicare Part D drug plan costs.
benefits. EPIC cannot be used at pharmacies outside New York. Almost all pharmacies in New York State are participating in EPIC; check with your local pharmacy to be sure they are participating before making your purchase. If you want to know which pharmacies in your area have joined EPIC, just call our toll-free Helpline at 1-800-332-3742.
