December 06, 2022
Prescription Drug Insurance & Discount Programs for Seniors in New York State
|Elderly Pharmaceutical Insurance Coverage (EPIC)
EPIC Helpline: 800-332-3742 (TTY 800-290-9138) https://www.health.ny.gov/health_care/epic/ EPIC is a NYS program for older adults 65 and above who need help paying for prescription medications. EPIC provides secondary coverage for Medicare Part D and EPIC-covered drugs after any Medicare Part D deductible is met. EPIC also covers approved Part D-excluded drugs once a member is enrolled in Part D. Older adults may apply at any time of the year and must be enrolled or eligible to be enrolled in a Medicare Part D drug plan to receive EPIC benefits and maintain coverage. EPIC has two plans based on income. The Fee Plan is for members with incomes up to $20,000 (single) or $26,000 (married). Members pay an annual fee to EPIC ranging from $8 to $300 based on their prior year’s income. After any Part D deductible is met, if the member has one, Fee Plan members only pay the EPIC co-payment for drugs, ranging from $3 to $20 based on the drug cost not covered by Part D. Additional EPIC Fee Plan details and benefits are located here: https://www.health.ny.gov/health_care/epic/fee_plan.htm
The Deductible Plan is for members with incomes ranging from $20,001 to $75,000 (single) or $26,001 to $100,000 (married). Members meet an annual EPIC deductible based on their prior year’s income before they pay EPIC co-payments for drugs. Additional EPIC Deductible Plan details and benefits are located here: https://www.health.ny.gov/health_care/epic/deductible_plan.htm. For more information and to apply for either program, call the EPIC Helpline at 800-332-3742.Big Apple Rx 888-454-5602 or 311 www.bigapplerx.com
The BigAppleRx Prescription Discount Card was created in partnership with New York City. It is free for everyone and is accepted at more than 2,000 chain and independent pharmacies throughout the 5 boroughs. To price your prescription or locate a participating pharmacy, use the contact information above. Center for Drug Information https://www.fda.gov/drugs/resources-you/drug-information-consumers Provides a variety of consumer information on FDA-approved products and drugs, including hand sanitizer, generic drugs, proper drug use, safety, and storage and disposal of unused medicines.
FreeDrugCard.US www.freedrugcard.us This is not an insurance plan. It is a prescription drug program that works like a drug coupon, offering discounts on prescription drug costs. The card is free and can be used at more than 68,000 national and regional pharmacies across the country. NYS Department of Health Prescription Drug Price List
The NYS Board of Pharmacy publishes an annual list of the prices of the 150 most frequently prescribed drugs, in the most common quantities. The State Department of Health collects retail price information on these drugs from pharmacies that participate in the Medicaid program. The site allows a search of specific drugs from the most frequently prescribed drug list. Please contact pharmacies directly for more information regarding retail offerings and prices.