Elderly Pharmaceutical Insurance Coverage (EPIC) 2024 Annual Statistics
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Table I: EPIC Active Enrollment Count
The number of EPIC members enrolled in the program by marital status and income level.
Married:
| Marital Status | Income Range | Income Range | Member Count |
|---|---|---|---|
| Married | $0.00 | $10,000.99 | 1,010 |
| Married | $10,001.00 | $20,000.99 | 4,052 |
| Married | $20,001.00 | $30,000.99 | 11,235 |
| Married | $30,001.00 | $40,000.99 | 25,030 |
| Married | $40,001.00 | $50,000.99 | 27,229 |
| Married | $50,001.00 | $60,000.99 | 23,005 |
| Married | $60,001.00 | $70,000.99 | 18,213 |
| Married | $70,001.00 | $80,000.99 | 14,196 |
| Married | $80,001.00 | $90,000.99 | 11,149 |
| Married | $90,001.00 | $100,000.99 | 8,097 |
| Married | $100,001.00 | $108,700.99 | 3 |
Not Married (Single):
| Marital Status | Income Range | Income Range | Member Count |
|---|---|---|---|
| Not Married | $0.00 | $10,000.99 | 6,967 |
| Not Married | $10,001.00 | $20,000.99 | 36,363 |
| Not Married | $20,001.00 | $30,000.99 | 58,384 |
| Not Married | $30,001.00 | $40,000.99 | 35,142 |
| Not Married | $40,001.00 | $50,000.99 | 16,115 |
| Not Married | $50,001.00 | $60,000.99 | 8,967 |
| Not Married | $60,001.00 | $70,000.99 | 5,436 |
| Not Married | $70,001.00 | $80,000.99 | 1,908 |
Table II: EPIC Active Enrollment Count by Age
The number of EPIC members enrolled in the program by income ranges and age.
Married:
| Age | 65 - 69 | 70-75 | 76-79 | 80-85 | 86-99 | 90-95 | 96-99 | 100+ | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Marital Status | Income Range | Income Range | ||||||||
| Married | $0.00 | $10,000.99 | 63 | 251 | 207 | 270 | 104 | 100 | 11 | 4 |
| Married | $10,001.00 | $20,000.99 | 138 | 669 | 739 | 1,088 | 757 | 550 | 94 | 17 |
| Married | $20,001.00 | $30,000.99 | 504 | 2,407 | 2,072 | 3,008 | 1,719 | 1,247 | 226 | 52 |
| Married | $30,001.00 | $40,000.99 | 1,314 | 5,993 | 5,143 | 6,687 | 3,218 | 2,209 | 390 | 76 |
| Married | $40,001.00 | $50,000.99 | 1,471 | 6,678 | 5,852 | 7,483 | 3,264 | 2,111 | 308 | 62 |
| Married | $50,001.00 | $60,000.99 | 1,483 | 6,282 | 5,250 | 6,120 | 2,322 | 1,345 | 176 | 27 |
| Married | $60,001.00 | $70,000.99 | 1,395 | 5,849 | 4,516 | 4,170 | 1,456 | 739 | 78 | 10 |
| Married | $70,001.00 | $80,000.99 | 1,168 | 4,856 | 3,568 | 3,158 | 986 | 406 | 46 | 8 |
| Married | $80,001.00 | $90,000.99 | 1,007 | 4,053 | 2,864 | 2,301 | 614 | 276 | 26 | 8 |
| Married | $90,001.00 | $100,000.99 | 821 | 3,137 | 1,957 | 1,589 | 399 | 184 | 10 | . |
| Married | $100,001.00 | $108,700.99 | . | 1 | . | 2 | . | . | . | . |
Not Married (Single):
| Age | 65 - 69 | 70-75 | 76-79 | 80-85 | 86-99 | 90-95 | 96-99 | 100+ | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Marital Status | Income Range | Income Range | ||||||||
| Not Married | $0.00 | $10,000.99 | 288 | 1,257 | 1,265 | 1,791 | 1,049 | 997 | 242 | 78 |
| Not Married | $10,001.00 | $20,000.99 | 1,010 | 5,504 | 5,425 | 8,675 | 6,062 | 6,628 | 2,151 | 908 |
| Not Married | $20,001.00 | $30,000.99 | 2,337 | 10,887 | 9,849 | 14,830 | 8,568 | 8,436 | 2,551 | 926 |
| Not Married | $30,001.00 | $40,000.99 | 1,655 | 7,276 | 6,668 | 9,443 | 4,735 | 4,007 | 1,031 | 327 |
| Not Married | $40,001.00 | $50,000.99 | 1,083 | 4,575 | 3,627 | 3,838 | 1,645 | 1,057 | 228 | 62 |
| Not Married | $50,001.00 | $60,000.99 | 708 | 2,885 | 1,992 | 1,960 | 746 | 531 | 112 | 33 |
| Not Married | $60,001.00 | $70,000.99 | 477 | 1,887 | 1,204 | 1,074 | 430 | 276 | 68 | 20 |
| Not Married | $70,001.00 | $80,000.99 | 177 | 717 | 393 | 382 | 121 | 92 | 15 | 11 |
Table III: Participating Pharmacies
The distribution of claims by pharmacy type.
| Pharmacy Type | Description | Provider Count | Claims Count |
|---|---|---|---|
| Chain/Independent | Part of a Larger Organization of Pharmacies - | 4,434 | 2,999,472 |
| Franchise | Same Name | 15 | 15,354 |
| Other | Dispenses Alternative Medications | 45 | 99,711 |
| Total | 4,494 | 3,114,537 |
Table IV: Participating Pharmacies, Recipients and Payments by County
Participating Pharmacies within New York State:
State County Participating Pharmacies Members Total EPIC Paid For Claims Patient Paid For Claims Claims Total NY Kings 629 9,502 $2,234,920.67 $2,448,600.50 117,650 NY Queens 564 12,402 $2,297,304.23 $3,153,054.33 139,509 NY New York 427 6,347 $1,424,818.07 $1,587,861.16 69,829 NY Bronx 304 3,595 $894,693.30 $930,516.97 39,910 NY Nassau 268 14,280 $3,381,944.44 $4,454,303.58 203,963 NY Suffolk 239 14,523 $1,932,339.15 $3,809,243.28 199,086 NY Erie 188 29,393 $4,301,961.11 $8,676,788.69 441,953 NY Westchester 181 6,067 $1,263,403.23 $1,894,847.93 78,023 NY Monroe 112 22,363 $4,133,161.53 $8,317,065.54 282,834 NY Richmond 82 3,595 $596,557.26 $999,247.68 44,021 NY Onondaga 81 9,636 $1,899,055.86 $2,918,999.88 126,795 NY Orange 68 2,552 $454,375.50 $744,612.91 36,434 NY Albany 56 2,872 $496,260.48 $745,719.58 40,649 NY Dutchess 50 3,056 $456,032.61 $985,601.85 40,890 NY Rockland 48 2,257 $321,835.72 $609,370.78 36,257 NY Niagara 44 5,021 $668,010.70 $1,376,084.99 80,063 NY Oneida 43 4,376 $570,059.50 $1,162,897.21 65,253 NY Broome 42 4,944 $699,161.24 $1,326,392.23 56,887 NY Saratoga 34 2,971 $428,384.98 $823,671.77 44,416 NY Ulster 31 1,987 $274,345.04 $550,312.98 26,602 NY Rensselaer 29 1,345 $228,246.66 $362,556.40 19,540 NY Schenectady 28 1,864 $254,216.84 $476,361.62 25,712 NY Chautauqua 23 4,589 $543,948.53 $1,368,527.36 68,321 NY Warren 23 1,394 $210,361.06 $371,926.80 18,679 NY Ontario 18 3,310 $359,940.46 $1,042,151.30 49,926 NY Clinton 17 1,327 $173,470.67 $314,444.96 16,605 NY Jefferson 17 1,666 $237,516.36 $419,075.61 22,161 NY Oswego 17 2,930 $485,173.24 $898,501.20 51,979 NY Saint Lawrence 17 1,595 $237,043.63 $432,473.79 25,428 NY Steuben 17 2,012 $276,918.32 $546,710.62 29,424 NY Chemung 16 1,457 $192,504.58 $409,287.89 24,065 NY Putnam 16 737 $97,790.11 $195,510.20 9,231 NY Cattaraugus 15 2,380 $285,598.88 $636,888.95 38,370 NY Wayne 15 2,205 $293,095.40 $770,795.67 31,986 NY Cayuga 13 1,463 $220,371.19 $419,691.32 21,494 NY Montgomery 13 798 $138,214.43 $207,417.24 10,516 NY Tompkins 13 1,037 $159,117.85 $320,340.08 13,921 NY Livingston 12 1,617 $181,441.94 $501,684.42 25,356 NY Madison 12 1,463 $241,573.49 $449,644.77 24,317 NY Otsego 12 1,163 $110,734.29 $308,231.00 14,739 NY Washington 12 905 $132,446.57 $225,020.41 13,101 NY Fulton 11 829 $127,820.13 $231,365.25 12,045 NY Genesee 11 1,636 $182,908.68 $468,049.44 22,837 NY Greene 11 752 $135,911.10 $208,396.97 13,738 NY Sullivan 11 427 $94,059.47 $127,043.76 6,750 NY Columbia 10 717 $116,848.96 $194,247.02 10,401 NY Delaware 10 817 $105,662.94 $210,261.35 10,789 NY Franklin 10 585 $109,101.98 $141,470.95 6,938 NY Herkimer 9 1,179 $154,012.59 $313,762.71 17,516 NY Allegany 8 1,024 $108,137.98 $255,821.86 16,203 NY Chenango 8 910 $85,197.67 $214,825.32 14,388 NY Cortland 8 912 $139,239.32 $267,692.11 13,020 NY Essex 8 353 $46,075.31 $82,294.00 4,288 NY Orleans 7 643 $82,118.53 $182,430.43 11,281 NY Wyoming 6 953 $153,381.20 $322,787.13 17,946 NY Seneca 5 492 $89,885.43 $170,397.20 7,343 NY Yates 5 718 $108,031.08 $236,817.26 10,141 NY Schoharie 4 492 $72,760.97 $142,584.58 7,053 NY Schuyler 4 375 $68,424.01 $112,863.17 5,902 NY Tioga 4 435 $40,040.77 $107,873.50 7,841 NY Lewis 3 487 $79,807.73 $163,554.91 7,781 NY *Not Available* 2 20 $4,402.97 $3,705.98 282 TOTALS: 4,001 213,752 $35,892,177.94 $62,350,680.35 2,950,378 Participating Pharmacies outside of New York State:
State County Participating Pharmacies Members Total EPIC Paid For Claims Patient Paid For Claims Claims Total PA Allegheny 4 288 $236,954.25 $151,495.33 699 PA Bradford 4 235 $14,498.47 $43,094.58 2,174 CT * Not Available * 4 30 $2,289.87 $6,113.83 866 NJ Bergen 3 348 $34,953.36 $66,467.86 6,386 KS Johnson 2 4,168 $651,105.13 $1,255,867.60 69,880 PA Luzerne 2 3,476 $370,266.61 $1,043,732.99 27,611 OH Butler 2 2,324 $367,912.68 $550,029.73 11,030 TN Shelby 2 374 $329,399.42 $189,869.18 655 NJ Essex 2 206 $235,951.20 $155,870.16 509 IL Cook 2 397 $104,552.89 $111,268.37 1,092 NC Wake 2 23 $28,261.29 $12,992.60 58 AZ Maricopa 2 404 $20,116.20 $43,865.12 1,244 MO Saint Louis 2 431 $12,266.37 $20,065.18 1,324 FL Orange 2 12 $12,036.83 $5,469.91 21 FL Hillsborough 2 3 $4,919.18 $1,576.90 4 OH Stark 2 5 $3,013.71 $1,785.29 36 NJ Union 2 24 $1,988.33 $4,762.41 790 NJ Burlington 1 4,429 $427,822.99 $1,235,501.44 23,227 IN Boone 1 2,717 $129,805.78 $630,799.38 13,581 DE New Castle 1 66 $109,476.20 $53,242.15 152 MI Genesee 1 67 $40,349.73 $21,798.63 102 FL Seminole 1 45 $33,851.26 $19,038.17 121 NJ Monmouth 1 5 $6,991.30 $4,248.41 10 NJ Morris 1 39 $6,521.24 $10,992.47 865 PA Montgomery 1 3 $2,256.72 $1,311.60 5 MI Wayne 1 2 $2,054.17 $1,563.14 3 NJ Middlesex 1 16 $1,524.13 $4,978.00 411 NJ Somerset 1 72 $1,373.19 $5,511.34 398 VT Bennington 1 10 $874.49 $2,092.56 75 NULL * Not Available * 1 30 $499.75 $6,553.86 625 PA Northampton 1 3 $223.08 $1,947.71 185 PA Bucks 1 2 $16.40 $106.00 3 PA Indiana 1 2 $0.00 $56.03 10 PA Wayne 1 2 $0.00 $84.71 27 TX Bexar 1 1 $0.00 $199.50 2 TOTALS: 59 20,259 $3,194,126.22 $5,664,352.14 164,181
* The 2024 EPIC data was generated on October 6, 2025.
