My Medications

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How can I find out if a certain medication is covered by my VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan)?

CHOICE FIDA Complete covers a broad range of drugs for hundreds of ailments and conditions. This includes both brand name drugs and generics. To find out if a specific drug is covered, you can use this link to the List of Covered Drugs (Formulary) Search. Or, you can look in the List of Covered Drugs booklet you received when you enrolled.  
 
Some drugs have coverage rules or have limits on the amount you can get. In some cases you must do something before you can get the drug. See the Frequently Asked Questions in your List of Covered Drugs (Formulary) for more information. 
 
How do I find a pharmacy that’s part of the VNSNY CHOICE FIDA Complete network? 
It's easy to find a participating pharmacy.
  • Use the Provider Search tool on this website
  • Look in the listings in your Provider and Pharmacy Directory
  • Or call Participant Services at 1-866-783-1444 (TTY for the hearing impaired: 711), 7 days a week, 8 am- 8 pm
 
Do I have to use a network pharmacy for my medications and supplies? 
Yes, plan participants must use network pharmacies to access their prescription drug benefit, except in emergency and urgent care situations. If you go to an out-of-network pharmacy for prescriptons when it is not an emergency, you wil have to pay out of pocket for the service. Please see your Participant Handbook/Evidence of Coverage for the situations when CHOICE would cover prescriptions filled at an out-of-network pharmacy.
 
This is a FIDA-related page; some of the links will take you to non-FIDA information or to a different website.

VNSNY CHOICE FIDA Complete is a managed care plan that contracts with both Medicare and the New York State Department of Health (Medicaid) to provide benefits of both programs to Participants through the Fully Integrated Duals Advantage (FIDA) Demonstration. 

The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.
 
You can get this information for free in other formats, such as Braille or audio CD. Call toll free 1-866-783-1444, TTY: 711, 8 am – 8 pm, 7 days a week. The call is free.
 
Enrollment in VNSNY CHOICE FIDA Complete depends on contract renewal.

Last updated 10/1/2016

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