Drugs on the formulary are grouped into tier levels based on brand/generic status and specialty drug status. Drugs on a lower tier have a lower cost share than drugs on a higher tier.
To view your plan's formulary, click the formulary link below.
To search for a pharmacy near you, use the pharmacy locator by clicking the link below:
Mail Order Pharmacy
Regional (OR, WA, AK, CO and ID) mail order services are available through:
OHSU Creekside Pharmacy
National mail-order services are available for members residing in all other states through:
Postal Prescription Services
Most specialty drugs can be filled at any retail OHSU pharmacy. There may be certain specialty drugs that an OHSU pharmacy is not able to provide. Contact 888-279-9330 for more information.
Frequently Asked Questions
Cost sharing refers to when both members and their insurance plan share the cost of their health care expenses.
Copay and coinsurance are both types of cost sharing. A copay is a flat fee that you will pay for your prescription. Coinsurance is the percent of the prescription that you will need to pay for your prescription.
A deductible is the amount that you must pay out-of-pocket before your insurance begins to pay. Max out-of-pocket is the maximum amount that you pay for covered services per plan year. After you spend your max out-of-pocket, your plan pays 100%.
Refer to your member handbook for details about your pharmacy benefits.