Drug Name Search
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2021 Health Share of Oregon/ Providence (OHP)
Health Share/Providence has a list of covered drugs called a Formulary.
Coronavirus disease 2019 – also known as COVID19 – is a highly contagious respiratory virus that has caused a global pandemic due to its ability to spread quickly, even by people that do not have any symptoms of the disease. While many patients experience mild symptoms, the virus can cause very severe disease and death in some patients.
In December 2020, the Food & Drug Administration (FDA) approved the use of COVID-19 vaccines under an Emergency Use Authorization (EUA) to help stop the spread of the disease. This vaccine will be covered in full (no out-of-pocket costs). Please note that vaccine administration will not be available for everyone right away; the government will be limiting initial vaccinations to those at highest risk (such as front-line healthcare workers, long-term care residents, and elderly patients).
COVID-19 Vaccine Frequently Asked Questions (FAQ).
Cuando la vacuna esté autorizada y aprobada en los Estados Unidos en Diciembre del 2020, al principio es posible que no haya suficientes dosis disponibles para todos los adultos. Es decir que no todos podrán vacunarse de inmediato. Los suministros irán aumentando con el paso del tiempo. Los trabajadores de salud y los residentes de establecimientos de cuidados a largo plazo deberían recibir las primeras dosis de las vacunas contra el COVID-19. Estudios medicos muestran que las vacunas son seguras y efectivas para prevenir la infección por el COVID-19. Se proporcionará cobertura de administración de las vacunas contra el COVID-19 sin gasto compartido, para los miembros del Medicaid.
Influenza — also known as the flu — is a highly contagious respiratory virus. The effects of the flu vary from person to person and range from mild to severe. The best protection against the flu is to get a flu shot each year.
Did you know that you may be able to get a flu shot at an in-network pharmacy?
If you are 19 or older, you can get the flu shot at an in-network retail pharmacy. Children (ages infant through 18) need to go to a Vaccine for Children facility (VFC), or to your PCP.
A formulary is a list of covered drugs which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.
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HOW TO SEARCH FOR DRUGS
WHAT IF MY DRUG IS NOT ON THE FORMULARY?
If your drug is not on the formulary, it means we do not cover it.
WHAT IF I URGENTLY NEED A DRUG THAT IS NOT ON THE FORMULARY?
You can also call our Customer Service team at one of the following numbers between 8 a.m. and 5 p.m., Monday through Friday if you have questions about the formulary:
Please see your Member Handbook or contact the Pharmacy Department at (877)216-3644 for questions.