Drug Name Search
Disclaimer: Depending on your plan benefit, the cost share for brand name drugs with a generic equivalent may be greater than the tier status. Please see your benefit summary or contact the Pharmacy Department at (877)216-3644 for questions.
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2022 PROVIDENCE FORMULARY J
Providence Health Plan is pleased to provide plan members with a comprehensive prescription drug formulary designed to promote safe, effective and affordable drug therapy. We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.
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All FDA-authorized and FDA-approved COVID-19 vaccines are provided at no charge to you, no matter where you get the vaccine. This includes when multiple doses are required. Everyone 5 years of age and older is eligible to get a COVID-19 vaccine
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Did you know that you may be able to get a flu shot at an in-network pharmacy?
To find an in-network pharmacy: You can call Customer Service at 503-574-7500 (TTY: 711), Pharmacy Services at 503-574-7400 (TTY: 711), or access the Pharmacy Directory.
Search the formulary
There are a number of ways to see if your prescription is included in the formulary. You can search:
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Prescription drug coverage
Generally, your prescription drug plan covers prescription drugs that:
Formulary exceptions / Generic Alternatives
Formulary Exception: There may be times when you require a drug that is not on the formulary. If you currently take a prescription drug not on the formulary, contact customer service to make sure the drug is not covered. If the prescription drug is not covered, your provider may request an exception be made. There are two ways you, your representative or prescriber can initiate a prior authorization request: Complete the Providence Health Plan drug coverage prior authorization form or your provider may use the drug prior authorization form to submit the exception request.
Generic Alternatives: A generic alternative is a generic drug that is used to treat the same condition as a brand-name drug; it is not the exact same medication as the brand-name drug. According to clinical evidence, a generic alternative can be expected to treat the same condition as well as the brand-name alternative. A new prescription is needed to obtain a generic alternative drug. You may search the formulary by medical condition category and look for a medication classified as generic.
Visit the Providence Health Plan Pharmacy Resources page for more information about prescription drugs, including forms, articles, and answers to frequently asked questions.