MEDICAL BENEFIT DRUG LIST
You may look up medical benefit drugs in different ways:
Drugs that may be covered under the medical benefit when administered by a health care professional or under the pharmacy benefit when self-administered.
Self-Administered Drug Exclusion Policy: Certain medications considered to be self-administered by the patient or their caregiver are excluded from coverage under the medical benefit without prior-authorization. Self-Administered Drug Exclusion Policy CMS Self-Administered Drug Exclusion List
More Information
If the medication you are looking for is not listed and you have questions about your medication coverage, please contact your health plan.
You can call Customer Service at 503-574-7500 (TTY: 711), Pharmacy Services at 503-574-7400 (TTY: 711)
Visit the Providence Health Plan Pharmacy Resources page for more information about prescription drugs, including forms, articles, and answers to frequently asked questions.
This page is managed by Providence Health Plan using an MMIT platform.