Health Share of Oregon/ Providence (OHP)

Welcome

Health Share/Providence has a list of covered drugs called a Formulary.

Influenza

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?

Flu vaccines are available at many retail pharmacy locations or through your in-network health care provider.

Going to the pharmacy is a convenient option as generally no appointment is needed and flu shots are covered at no cost to our members with proof of insurance.

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.

HOW TO SEARCH FOR DRUGS

Use the alphabetical list to search by the first letter of your medication.

Search by typing part of the generic (chemical) and brand (trade) names.

Search by selecting the therapeutic class of the medication you are looking for.

Printable Files

The following files require Adobe Acrobat. Download Adobe Acrobat

WHAT IF MY DRUG IS NOT ON THE FORMULARY?

If your drug is not on the formulary, it means we do not cover it.

Your doctor can ask for an exception. Ask your doctor to mail or fax us a “prior authorization” or Medication Exception Request Form if they feel this is the best drug for you.

We will review your doctor’s request and either approve or deny the request.

WHAT IF I URGENTLY NEED A DRUG THAT IS NOT ON THE FORMULARY?

If this happens, please contact us right away. You, your doctor, or someone you appoint as your representative can contact us.

If we determine that your life or health are at risk, we will review the request within one day (24 hours).

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:

Customer Service: 503-574-8200

Toll-Free: 1-800-898-8174

TTY/TDD users should call 711

Please see your Member Handbook or contact the Pharmacy Department at (877)216-3644 for questions.