Pharmacy – Medicare Part D

Medications can play a significant role in your health care. Some Providence Medicare Advantage Plans include Pharmacy coverage (Medicare Part D). If you are considering a plan with Medicare Part D coverage, the following information will help guide your decisions as they relate to Providence Medicare Advantage Plans.

Contact Providence Customer Service at 503-574-8000 or 1-800-603-2340 (TTY: 711), 8 a.m. to 8 p.m., seven days a week, if you have additional questions or need further information, including:

  • How we control the use of services and costs;
  • The number of appeals and grievances filed by our members;
  • A summary description of how we pay our doctors; and
  • A description of our financial condition, including a summary of our most recent audit statement.

Formulary list of approved drugs › 

Pharmacy guidelines and FAQ ›

Find a pharmacy* ›

About out-of-network pharmacies ›

Pharmacy transition process ›

Medication Therapy Management Program ›

Part D Coverage Determinations, Exceptions, Appeals and Grievances ›

Assistance with prescription drug premiums and costs

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
  • The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or
  • Your State Medicaid Office.

* We have over 900 pharmacies available in our service area in addition to over 42,000 pharmacies nationwide. Providence Medicare Advantage Plans has contracts with pharmacies that equal or exceed the Centers for Medicare and Medicaid (CMS) requirements for pharmacy access in your area.

Providence Medicare Advantage Plans is an HMO, HMO‐POS and HMO SNP with Medicare and Oregon Health Plan contracts. Enrollment in Providence Medicare Advantage Plans depends on contract renewal.

Website is current as of 10/11/2019