Find a Pharmacy
Covered Drug Lists
With MetroPlusHealth’s Find a Pharmacy tool, locating an in-network pharmacy near you has never been easier. Whether you need to fill a prescription, ask questions about your medications, or find a 24-hour location, our searchable pharmacy directory connects you to trusted providers throughout New York City. Access affordable medications and pharmacy services wherever you live — with convenience, accuracy, and support you can count on.
Finding a pharmacy that is covered by your MetroPlusHealth plan is easy. There are over 500 pharmacies in New York City that take MetroPlusHealth, including:
Find a Pharmacy
To search providers based on your location, please explore our network directory:
Find a Pharmacy
Find pharmacies on your plan or nearby.
Pharmacy Benefits & Covered Drug Lists
What medications are covered?
Want to know in advance what medications MetroPlusHealth will help pay for? Look it up in your plan Covered Drug Lists. A Covered Drug List is a list of prescription drugs and therapies that an insurer has approved for its members.
We will generally cover anything listed in our Covered Drug List as long as the drug is medically necessary, the prescription is filled at a MetroPlusHealth network pharmacy, and other plan rules are followed. Your plan benefits page can explain in more detail. Of course, if you still have questions, you can always call or contact us.
| Covered Drug Lists | Documents (PDF) | |
|---|---|---|
| Child Health Plus
| effective date: October 2026 | |
| Medicaid Partnership In Care (SNP) MetroPlusHealth Enhanced (HARP) | Beginning April 1, 2023, all Medicaid members enrolled in MetroPlusHealth Medicaid, Partnership In Care, and Enhanced (HARP) plans will receive their prescription drugs through NYRx, the Medicaid Pharmacy Program. To access NYRx, the Medicaid Pharmacy Program’s Covered Drug List click here. | |
| Essential Plan | effective date: October 2026 | |
| Marketplace QHP Plans | effective date: October 2026 | |
| MetroPlusHealth Gold Plan | MetroPlusHealth Gold Standard Plan: This plan does not include a prescription drug rider, may cover certain medications. For a complete list of covered medications, view the MPH Gold Standard Drug List MetroPlusHealth Gold Plan with Prescription Drugs: Discount Drug Program: This program gives you a $0 copay on more than 100+ commonly prescribed medications. All MetroPlusHealth Gold Plan members are eligible, including those enrolled in the Standard Plan. PICA Coverage: The PICA Program is a prescription drug benefit provided to all NYC employees, non-Medicare retirees, and their non-Medicare-eligible dependents who are enrolled in a health plan offered through the City’s Health Benefits Program. Refer to the New York City Summary Program Description on the OLR website OLR website effective date: October 2026 | |
| MetroPlus GoldCare | effective date: October 2026 | |
| 2026 Medicare Plans | ||
| MetroPlus Advantage Plan (HMO D-SNP) |
effective date: October 2026 | |
| MetroPlus UltraCare (HMO D-SNP) MetroPlus Platinum (HMO) |
effective date: October 2026 | |
| 2027 Medicare Plans | ||
| MetroPlus Advantage Plan (HMO D-SNP) |
effective date: October 2026 | |
| MetroPlus UltraCare (HMO D-SNP) MetroPlus Platinum (HMO) |
effective date: October 2026 | |
The links open documents in PDF, Word or Excel format. If you have problems viewing any of the documents contact your Provider Services Representative. Download Acrobat Reader, a PDF viewer.
Provider Tools
- To view our Pharmacy Policies (for Providers, including Pharmacies), click here.
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