Pharmacy Resources
For members with a prescription drug benefit, search nationwide pharmacy facilities available through Providence Health Plans
Standard Drug Lists
Members can view their specific plan pharmacy benefits through their PHP account.
- Commercial Drug Formulary (PDF 58kb)
For most member plan types except Medicare and OHP - Value Based Drug Formulary (PDF 89kb)
For members enrolled on our Value Based Pharmacy Plans - Prior Authorization Drug List (PDF 32kb)
For most member plan types except Medicare and OHP - Prior Authorization Drug Form (PDF 42kb)
- Effective Generic Options for Expensive Brand Prescriptions (PDF 86kb)
- Self-Injectable Drug List (PDF 17kb)
For most member plan types except Medicare and OHP - Medicare Part D Information
For Medicare members
Employer Drug Formularies and Lists
- Self-Funded Employer Formulary (PDF 56kb)
- For employees of Providence Health & Services in Alaska, Oregon and Washington
- Selected Brand Name Drug List (PDF 28kb)
For Portability members - Value Plus Formulary for members of SAIF (PDF 89kb)
Participating Mail Order Pharmacies
A 90-day supply of maintenance medication is available through the mail order and preferred retail stores, such as Fred Meyer, Costco and Walgreens pharmacies. The 90-day supply copayment or coinsurance applies. Not all covered prescription drugs are available by mail order or in a 90-day supply.
Forms
- Prescription Drug Reimbursement Request Form (PDF 124kb)
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PDF files, download free Adobe Acrobat Reader
Quality and Costs
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