Back to dashboard
CommercialAdministrativeHigh impact

Specialty Pharmacy Program Match

EmblemHealth·Pharmacy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth launched the Advocate+ Pharmacy Match program on January 1, 2026, requiring prescribers to route specialty medication e-prescriptions through FMH Pharmacy, which will then assign patients to cost-effective specialty pharmacies. Commercial members will use the new system while Medicare members continue using Accredo.

Action Required

Action needed
Immediately: Prescribers must update e-prescribing system to use FMH Pharmacy (NPI: 1366292880, Fax: 833-998-4435, Phone: 412-755-3241) for all EmblemHealth commercial specialty medications instead of direct specialty pharmacy submission. Continue using standard CoverMyMeds for prior authorizations. Contact FMH provider support at 877-787-0520 or prescribers@freemarkethealth.com for questions.

Related policy hubs