Resource: New York State Insurance Fund
Please read this notice carefully. It provides you with important information on obtaining medication under a workers’ compensation claim with the New York State Insurance Fund (NYSIF).
NYSIF has entered into an agreement with CVS Caremark, a Pharmacy Benefits Manager (PBM), which has a network of pharmacies to make available the medications workers may receive for their work-related injury or sickness. This does not change your right to get the medication necessary to treat such an illness or injury. It only means that you must obtain that medication from a participating pharmacy in the CareComp pharmacy network administered by CVS Caremark. This network is not limited to CVS pharmacies, but includes more than 67,000 participating pharmacies. The pharmacies and their addresses can be obtained by:
- calling the CVS Caremark Call Center at (866) 493-1640, or TDD number for the hearing impaired at (866) 200-2161
- using the website www.wcrxpharmacylocator.com
- using the NYSIF website nysif.com/networkbenefits
If you are obtaining your medication through a workers’ compensation claim, you must obtain that medication from one of these pharmacies unless:
- You have a medical emergency and it is not reasonably possible to purchase the medications you need for that emergency from a network pharmacy, or
- Ordering by mail or telephone is not an option in the network, no pharmacy in the network will deliver to you, and none of these pharmacies is within 15 miles if you live in a rural location, or five miles if you do not live in a rural location. If you believe this is the case for you, please call one of the numbers on the bottom of this page.
Please note that CVS Caremark has mail-order, internet and telephone services. Instructions can be obtained by calling the CVS Caremark Call Center at (866) 493-1640.
All pharmacies in the network are required to keep a sufficient stock of medication on hand so that they can service you without undue delay.
All in-store pharmacies must be open for business during hours that are typical in your community.
Pharmacies in the CareComp pharmacy network will bill NYSIF directly. You will not have to pay out-of-pocket costs for medication.
You may obtain additional information about the CareComp pharmacy network by calling the toll-free, 24-hour telephone number: (866) 493-1640.
If you have any questions or problems, please call NYSIF at (888) 875-5790. You may also contact the New York State Workers’ Compensation Board at general_information@wcb.ny.gov or (877) 632-4996, or the Advocate for Injured Workers at (800) 580-6665. You may also find further information by visiting www.wcb.ny.gov.
Visit New York State Insurance Fund for more information.