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2025 Samaritan Dual Advantage Plan (HMO D-SNP)

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. Call Customer Service for more information.

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Therapeutic Class Search Skip to Footer

  • Analgesics
  • Anesthetics
  • Anti-Addiction/Substance Abuse Treatment Agents
  • Antibacterials
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  • Antiemetics
  • Antifungals
  • Antigout Agents
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  • Antimycobacterials
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  • Antipsychotics
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  • Antivirals
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  • Blood Glucose Regulators
  • Blood Products And Modifiers
  • Cardiovascular Agents
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  • 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
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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: 25500
Formulary Effective Date: 06/01/2025
Updated:
06/2025
CMS Version:
12
CMS Marketing Materials Id:
H3811_RX250_C

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