Elderly Pharmaceutical Insurance Coverage (EPIC) 2025 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 | 962 |
| Married | $10,001.00 | $20,000.99 | 3,543 |
| Married | $20,001.00 | $30,000.99 | 9,541 |
| Married | $30,001.00 | $40,000.99 | 22,531 |
| Married | $40,001.00 | $50,000.99 | 26,038 |
| Married | $50,001.00 | $60,000.99 | 22,784 |
| Married | $60,001.00 | $70,000.99 | 18,439 |
| Married | $70,001.00 | $80,000.99 | 14,297 |
| Married | $80,001.00 | $90,000.99 | 11,489 |
| Married | $90,001.00 | $100,000.99 | 8,174 |
| Married | $100,001.00 | $108,700.99 | 880 |
Not Married (Single):
| Marital Status | Income Range | Income Range | Member Count |
|---|---|---|---|
| Not Married | $0.00 | $10,000.99 | 6,595 |
| Not Married | $10,001.00 | $20,000.99 | 30,830 |
| Not Married | $20,001.00 | $30,000.99 | 55,416 |
| Not Married | $30,001.00 | $40,000.99 | 36,130 |
| Not Married | $40,001.00 | $50,000.99 | 17,100 |
| Not Married | $50,001.00 | $60,000.99 | 9,518 |
| Not Married | $60,001.00 | $70,000.99 | 5,732 |
| Not Married | $70,001.00 | $80,000.99 | 2,354 |
| Not Married | $80,001.00 | $81,525.99 | 13 |
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 | 76 | 246 | 194 | 242 | 100 | 93 | 8 | 3 |
| Married | $10,001.00 | $20,000.99 | 149 | 590 | 679 | 957 | 642 | 438 | 75 | 13 |
| Married | $20,001.00 | $30,000.99 | 483 | 2,071 | 1,815 | 2,574 | 1,425 | 988 | 143 | 42 |
| Married | $30,001.00 | $40,000.99 | 1,441 | 5,535 | 4,845 | 5,817 | 2,770 | 1,768 | 302 | 53 |
| Married | $40,001.00 | $50,000.99 | 1,618 | 6,417 | 5,635 | 7,064 | 3,075 | 1,915 | 258 | 56 |
| Married | $50,001.00 | $60,000.99 | 1,723 | 6,192 | 5,289 | 5,927 | 2,194 | 1,263 | 166 | 30 |
| Married | $60,001.00 | $70,000.99 | 1,527 | 5,869 | 4,595 | 4,189 | 1,455 | 721 | 74 | 9 |
| Married | $70,001.00 | $80,000.99 | 1,299 | 4,857 | 3,606 | 3,170 | 952 | 374 | 33 | 6 |
| Married | $80,001.00 | $90,000.99 | 1,161 | 4,090 | 2,928 | 2,361 | 647 | 274 | 24 | 4 |
| Married | $90,001.00 | $100,000.99 | 844 | 3,135 | 2,017 | 1,612 | 389 | 168 | 8 | 1 |
| Married | $100,001.00 | $108,700.99 | 115 | 321 | 214 | 184 | 26 | 20 | . | . |
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 | ||||||||
| Married | $0.00 | $10,000.99 | 469 | 1,256 | 1,196 | 1,644 | 953 | 837 | 183 | 57 |
| Married | $10,001.00 | $20,000.99 | 1,306 | 5,015 | 4,893 | 7,378 | 4,963 | 5,134 | 1,518 | 623 |
| Married | $20,001.00 | $30,000.99 | 2,889 | 10,507 | 9,521 | 13,932 | 8,030 | 7,701 | 2,141 | 695 |
| Married | $30,001.00 | $40,000.99 | 2,088 | 7,570 | 6,899 | 9,725 | 4,761 | 3,912 | 892 | 283 |
| Married | $40,001.00 | $50,000.99 | 1,321 | 4,736 | 3,877 | 4,013 | 1,774 | 1,116 | 213 | 50 |
| Married | $50,001.00 | $60,000.99 | 865 | 3,011 | 2,165 | 2,067 | 771 | 518 | 94 | 27 |
| Married | $60,001.00 | $70,000.99 | 573 | 1,956 | 1,292 | 1,129 | 430 | 276 | 62 | 14 |
| Married | $70,001.00 | $80,000.99 | 248 | 850 | 495 | 455 | 169 | 110 | 17 | 10 |
| Married | $80,001.00 | $81,525.99 | 4 | 6 | 2 | . | . | 1 | . | . |
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 - | 4,521 | 2,205,118 |
| Franchise | Same Name | 17 | 15,764 |
| Other | Dispenses Alternative Medications | 61 | 17,442 |
| Total | 4,599 | 2,238,324 |
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 592 8,032 $897,474.48 $1,620,880.76 74,319 NY Queens 540 10,477 $849,918.96 $2,047,134.96 89,930 NY New York 400 5,300 $460,230.22 $1,011,977.84 46,566 NY Bronx 272 2,772 $365,647.58 $550,923.52 22,874 NY Nassau 267 12,340 $1,193,914.94 $3,163,267.34 141,766 NY Suffolk 228 12,712 $1,039,650.28 $2,903,992.52 141,488 NY Erie 186 29,508 $1,905,075.93 $6,213,425.07 308,467 NY Westchester 171 5,189 $541,769.95 $1,402,414.51 56,265 NY Monroe 105 20,951 $1,313,619.87 $5,717,972.95 210,479 NY Richmond 79 3,091 $250,309.03 $749,762.04 29,715 NY Onondaga 78 9,013 $768,417.30 $2,249,414.52 94,448 NY Orange 63 2,321 $190,360.41 $549,177.50 27,666 NY Albany 53 2,423 $169,832.49 $444,042.17 29,357 NY Dutchess 49 2,787 $206,471.98 $714,356.53 29,129 NY Rockland 47 2,042 $165,026.94 $459,422.18 28,589 NY Niagara 42 5,031 $309,697.25 $953,629.83 57,146 NY Oneida 42 4,040 $213,254.53 $729,081.08 44,328 NY Broome 40 4,274 $286,253.87 $902,489.82 39,754 NY Saratoga 34 2,647 $169,657.68 $560,127.73 33,820 NY Ulster 31 1,834 $112,880.73 $407,521.88 20,529 NY Rensselaer 28 1,176 $82,307.71 $214,106.51 12,940 NY Schenectady 25 1,503 $95,539.23 $304,079.12 16,640 NY Chautauqua 23 4,683 $255,923.74 $1,024,879.15 57,060 NY Warren 23 1,223 $73,946.46 $243,247.38 13,253 NY Ontario 18 3,202 $117,976.12 $721,492.61 38,561 NY Clinton 17 1,089 $65,181.83 $212,416.09 10,525 NY Oswego 16 2,539 $170,548.10 $707,581.00 41,641 NY Putnam 16 690 $44,581.43 $135,915.54 6,492 NY Saint Lawrence 16 1,326 $112,762.36 $297,302.07 17,677 NY Steuben 16 1,902 $113,721.96 $384,127.36 23,021 NY Cattaraugus 15 2,436 $117,271.72 $470,600.18 28,686 NY Chemung 15 1,388 $64,378.41 $237,077.48 15,443 NY Jefferson 15 1,322 $94,567.91 $313,145.46 16,235 NY Wayne 15 2,075 $110,710.69 $513,174.60 22,168 NY Montgomery 14 679 $57,711.42 $142,519.49 6,719 NY Tompkins 13 887 $54,252.97 $218,193.89 9,323 NY Livingston 12 1,533 $58,149.09 $377,661.27 20,241 NY Madison 12 1,413 $95,359.21 $322,721.10 20,269 NY Washington 12 786 $53,786.97 $157,479.12 8,924 NY Cayuga 11 1,211 $96,854.94 $303,448.50 17,144 NY Fulton 11 752 $44,433.23 $150,701.42 8,151 NY Otsego 11 1,040 $68,800.03 $246,726.42 12,441 NY Sullivan 11 374 $37,801.93 $92,242.30 5,242 NY Columbia 10 634 $43,346.08 $140,025.73 7,616 NY Delaware 10 781 $70,338.04 $181,583.86 8,925 NY Genesee 10 1,738 $78,806.36 $334,184.74 18,259 NY Greene 10 620 $45,910.96 $124,204.95 9,773 NY Herkimer 9 1,062 $75,559.04 $220,615.83 12,602 NY Allegany 8 1,045 $49,118.08 $203,134.15 13,016 NY Chenango 8 846 $36,624.95 $152,763.35 11,860 NY Cortland 8 916 $55,309.69 $186,527.56 9,559 NY Essex 8 324 $14,293.93 $53,165.95 3,090 NY Franklin 8 466 $33,742.15 $84,702.82 3,831 NY Orleans 7 651 $32,464.79 $135,026.57 9,373 NY Wyoming 6 947 $60,505.15 $233,611.65 15,185 NY Seneca 5 453 $31,231.75 $105,357.17 4,846 NY Yates 5 708 $29,548.52 $164,853.72 6,859 NY Schoharie 4 413 $22,870.93 $90,290.42 5,516 NY Schuyler 4 332 $22,315.19 $78,990.56 4,613 NY Lewis 3 451 $32,194.56 $134,025.00 6,000 NY Tioga 3 333 $23,471.74 $64,235.95 5,881 NY * Not Available * 2 8 $2,294.46 $1,277.64 117 TOTALS: 3,940 194,741 $14,255,978.25 $43,830,430.43 2,112,352 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 5 219 $78,462.86 $107,763.26 448 PA Bradford 4 224 $9,308.93 $37,167.30 1,790 AZ Maricopa 3 860 $57,813.70 $81,196.50 3,154 CT * Not Available * 3 15 $2,022.96 $2,396.55 430 NJ Bergen 3 345 $17,114.16 $45,107.11 5,619 FL Orange 2 7 $2,725.54 $4,748.66 7 IL Cook 2 372 $37,968.76 $82,985.35 966 KS Johnson 2 3,792 $116,317.80 $670,595.52 61,577 NC Wake 2 15 $8,208.38 $8,745.30 24 OH Butler 2 955 $85,515.56 $142,744.18 2,721 PA Luzerne 2 3,101 $160,173.18 $728,897.37 20,554 TN Shelby 2 527 $200,576.59 $293,112.32 654 ZZ * Not Available * 2 16 $1,885.06 $1,522.69 117 DE New Castle 1 34 $24,515.47 $26,193.55 44 FL Hillsborough 1 1 $0.00 $12.15 1 FL Seminole 1 19 $4,944.27 $7,103.35 26 IN Boone 1 2,072 $114,318.32 $471,141.81 8,385 MI Genesee 1 26 $9,246.72 $6,379.63 28 MI Wayne 1 4 $2,252.44 $102.00 4 MO Saint Louis 1 424 $19,285.17 $48,183.98 1,095 NJ Burlington 1 3,652 $233,725.79 $845,815.20 16,085 NJ Essex 1 184 $93,898.06 $109,887.45 302 NJ Middlesex 1 17 $140.47 $3,215.44 261 NJ Monmouth 1 4 $1,636.67 $1,351.96 6 NJ Morris 1 27 $2,201.16 $9,384.43 822 NJ Somerset 1 75 $2,482.87 $7,824.64 512 NJ Union 1 18 $1,033.10 $3,568.97 377 OH Stark 1 1 $875.85 $1,072.80 1 PA Indiana 1 1 $0.00 $0.00 1 PA Montgomery 1 1 $938.00 $1,050.58 1 PA Northampton 1 6 $3.63 $740.63 70 PA Wayne 1 2 $0.00 $31.08 7 TX Bexar 1 8 $247.09 $1,428.48 10 VT Bennington 1 10 $292.68 $2,151.86 135 PA Bucks 1 3 $1,266.37 $3,456.22 5
* The 2025 EPIC data was generated on January 5, 2026.
