Independent Health’s Child Health Plus Formulary
The following information applies to Independent Health’s New York State Sponsored Child Health Plus plan. Check your summary of benefits to ensure this formulary is associated with your plan prior to using your prescription drug benefit.
View the 2025 Child Health Plus Drug Formulary
Essential Plan Formulary
The following information applies to plans offered through the Essential Plan. Check your summary of benefits to ensure this formulary is associated with your plan prior to using your prescription drug benefit.
View the 2025 Essential Plan Formulary
MediSource and MediSource Connect prescriptions are covered through NYRx, the Medicaid Pharmacy Program. Information about NYRx, the Medicaid Pharmacy Program, can be found here.
Guidance for Practitioners Billing Medications
Per New York State Education (NYSED) Law, Article 137 §6807, practitioners who are authorized to prescribe may dispense certain classes of medications to patients directly out of their office. When dispensing, practitioners must maintain records for the dispensing and follow all state and federal regulations and Independent Health policies.
To bill medications dispensed to Independent Health members, use the following HCPCS code and the corresponding NDC for the product dispensed:
J8999 – Rx Drug Oral Chemotherapy
J8499 – Rx Drug Oral Non-Chemotherapy
Pay Bill
