Pharmacy resources

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Group Insurance Formulary
For groups sized 51+ Commercial drug formulary (PDF) - For plans with "Prescription Drug Plan" coverage
Value based drug formulary (PDF) - For plans with “Value Based Prescription Drug Plan” coverage
For groups sized 1-50 Coverage effective in 2013 (PDF)
Coverage effective on or after Jan. 1, 2014 (PDF)
Group-specific Climax Portable Machining & Welding Systems (PDF)
Columbia Sportswear CDHP (HSA Qualified Plan) (PDF)
Columbia Sportswear Open Option (PDF)
PEBB (PDF)
Providence Health & Services - HRA/HSA (PDF)
Providence Health & Services - ProvPreferred PPO (Washington) (PDF)
RBD (Real Benefits Group) (PDF)
Silverton - HSA (PDF)
Silverton - All other plans (PDF)
Individuals & families
 Coverage effective in 2013 (PDF)
  Coverage effective on or after Jan. 1, 2014 (PDF)
Self-funded Self-funded employer group formulary (PDF)

Special lists

  • Medical benefit drug prior authorization list (PDF) - List of drugs requiring prior authorization for medications administered in a provider's office for all plans types except Medicare. For pharmacy benefit drug prior authorization information, please refer to the appropriate formulary.

Additional resources

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