Online Formulary

Main Content

2025 Samaritan Advantage Premier Plan (HMO) and Samaritan Advantage Premier Plan Plus (HMO)

For questions please call:

Members: 866-207-3182 or 541-768-7866 , TTY 800-735-2900

Providers: 888-435-2396

Important message about what you pay for vaccines: Our plan covers Part D vaccines at no cost to you, even if you haven’t paid your deductible. Call Customer Service for more information.

Important message about what you pay for insulin: You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible.


Drug Search Main Content

Alphabetical Search Skip to Brand & Generic Search
  • A
  • B
  • C
  • D
  • E
  • F
  • G
  • H
  • I
  • J
  • K
  • L
  • M
  • N
  • O
  • P
  • Q
  • R
  • S
  • T
  • U
  • V
  • W
  • X
  • Y
  • Z

  Loading...

Therapeutic Class Search Skip to Footer

  • Analgesics
  • Anesthetics
  • Anti-Addiction/Substance Abuse Treatment Agents
  • Antibacterials
  • Anticonvulsants
  • Antidementia Agents
  • Antidepressants
  • Antiemetics
  • Antifungals
  • Antigout Agents
  • Antimigraine Agents
  • Antimyasthenic Agents
  • Antimycobacterials
  • Antineoplastics
  • Antiparasitics
  • Antiparkinson Agents
  • Antipsychotics
  • Antispasticity Agents
  • Antivirals
  • Anxiolytics
  • Bipolar Agents
  • Blood Glucose Regulators
  • Blood Products And Modifiers
  • Cardiovascular Agents
  • Central Nervous System Agents
  • Dental And Oral Agents
  • Dermatological Agents
  • Electrolytes/Minerals/Metals/Vitamins
  • Gastrointestinal Agents
  • Genetic Or Enzyme Or Protein Disorder: Replacement, Modifiers, Treatment
  • Genitourinary Agents
  • Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
  • Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
  • Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
  • Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
  • Hormonal Agents, Suppressant (Adrenal Or Pituitary)
  • Hormonal Agents, Suppressant (Thyroid)
  • Hormones And Synthetic Substitutes
  • Immunological Agents
  • Inflammatory Bowel Disease Agents
  • Metabolic Bone Disease Agents
  • Misc
  • Miscellaneous Therapeutic Agents
  • Ophthalmic Agents
  • Otic Agents
  • Respiratory Tract/Pulmonary Agents
  • Skeletal Muscle Relaxants
  • Sleep Disorder Agents
  • Therapeutic Nutrients/ Minerals/ Electrolytes
©1997-2025 Managed Markets Insight and Technology, LLC. All Rights Reserved Terms of Use

Samaritan Advantage Health Plan is an HMO with a Medicare contract. Enrollment in Samaritan Advantage Health Plan depends on contract renewal. Customer Services has free language interpreter services available for non-English speakers. This information is available in large print.

Samaritan Advantage Health Plan (HMO) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Formulary Id: 24599
Formulary Effective Date: 05/01/2025
Updated:
05/2025
CMS Version:
11
CMS Marketing Materials Id:
H3811_RX251_C

Top of Page