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Pharmacy Riders
Prescription drug coverage can be added to your medical benefits for medications listed on the Providence Health Plan formulary. Our formulary is a list of Food and Drug Administration (FDA)-approved prescription generic, brand-name and specialty medications. Benefits include:
- 90-day pharmacy transition period for prescriptions that normally require prior authorization.
- Access to more than 22,000 participating pharmacies at discounted rates – nationwide.
- Local access to 90-day supplies of maintenance prescription drugs at preferred retail pharmacies, including Costco, Fred Meyer, QFC, Safeway, Walgreens and Yoke's.
- 90-day supplies of maintenance prescription drugs also available by mail order.
Value Based Prescription Drug Plans
A value drug is one of 20 commonly prescribed, first-line treatments for asthma and other breathing disorders, diabetes, heart disease (high blood pressure, high cholesterol, congestive heart failure) and depression offered at an ultra-low copay on our Value Based Prescription Drug Plans. Other value-based features include:
- Four-tier drug cards with low copays for value and generic drugs.
- Higher copays for prescription drugs with a weak evidence base.
- An annual out-of-pocket maximum for nonformulary and compound drugs.
For more information, on these products, formularies or participating pharmacies, see Pharmacy Resources.
