The Budget Forms are available by clicking the links below.
Please Note: The forms are editable this year. Meaning you can type your information in if you wish. (except for where signatures, names and some dates are required)
To use this feature, you must use Adobe Acrobat Reader 8 or higher. You’ll then be able to type in and save your information, print it out and sign before submitting.
Previous year Budget Forms are available by clicking the links below.
View/download the 2015 plan changes
View/download the 2015 Empire Plan Flexible Formulary Drug List.
The download is a 12 page PDF document.
Please look it over to familiarize yourself with it and
save it on your computer and/or print it out.