Pharmacy plans

Providence Health Plan pharmacy plans include a comprehensive prescription drug formulary, enabling you to configure the level of coverage and cost-sharing that works best for your business and employees.

All pharmacy plans include:

• ACA preventive prescription medications are covered in full on ACA Preventive Prescription Medication Drug plans
• Access to more than 34,000 participating pharmacies
• A 90-day supply of maintenance medications for two times the 30-day copay amount when purchased at a preferred retail or mail-order pharmacy
• No separate out-of-pocket maximum
• Prescription cost-shares apply toward the medical plan out-of-pocket maximum
• Covered benefits are included for generic, brand name, and specialty drugs.
• Newly enrolled members have access to a 90-day transition period for most prescriptions that normally require prior authorization
• Care management for members with chronic conditions, including support for medication adherence, help identifying harmful drug interactions and help identifying opportunities to reduce healthcare costs