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Pharmacy Resources
Formularies
The Formulary is a list of Food and Drug Administration (FDA)-approved prescription generic, brand name and specialty medications. The Formulary can help you and your physician choose effective medications that minimize your out-of-pocket expense.
- Commercial Drug Formulary (PDF)
- Value Based Drug Formulary (PDF)
- Self-Funded Employers Drug Formulary (PDF)
- Providence Health and Services Self-Funded HSA Drug Formulary (PDF)
- OEBB Drug Formulary (PDF)
- Providence Oregon Option
- Medicare Part D
Providence Medicare Plans Pharmacy Resources website. - Prior Authorization Request Form (PDF)
Special Lists
- Medical Benefit Drug Prior Authorization List (PDF)
For all member plan types except Medicare. For pharmacy benefit drug prior authorization information, please refer to your current Formulary. - Portability Plan - Selected Brand Name Drug List (PDF)
Member Resources
- myProvidence
A secure internet portal that gives you access to your personal health insurance information. - Generic Drugs
Information about generic drugs, the Generic Alternative Program, and free first-fill coupons. - Participating Pharmacies
Information about participating, preferred, specialty, and mail order pharmacies. - Prescription Drug Reimbursement Request Form (PDF)
- Pharmacy FAQs
Answers to common questions about pharmacy benefits - Articles and Information
More articles and information about a variety of drug related topics
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PDF files, download free Adobe Acrobat Reader
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Recreational discounts on cultural activities and events.