Benefits 101

In most cases, if you choose a preferred retail pharmacy, you will pay less when you fill a 30- to 90-day supply of medication. This is because Providence Health Plan has worked with the pharmacy to lower the cost of medication copays for our members.

Retail pharmacies offer services such as filling up to a 30-day supply of prescription drugs, medication counseling, immunizations, and general health information. Customers can walk in and have their prescriptions filled at a retail pharmacy without the need for an appointment.

Mail-order pharmacies allow you to order up to a 90-day supply of medication and have them delivered to your home, saving you trips to the pharmacy. This excludes specialty and compounded medications.

All covered members and their qualified dependents have access to this mail-order pharmacy. Costco Home Delivery will verify your eligibility when you register. Note: Costco membership is not required.

Ordering medication(s):

• Create a Costco Home Delivery account online at Rx.Costco.com.
• Call a Costco pharmacy agent at 800-607-6861, Monday – Friday, 5 a.m. to 7 p.m., and Saturday, from 9:30 a.m. to 2 p.m. (Pacific Time).
• Your doctor may send a fax for new and/or refill orders to 800-633-0334.

Helpful resources:

• How to use Costco Home Delivery pharmacy
• Costco FAQ

Costco Pharmacy contact information:

Costco Home Delivery Pharmacy is available Monday – Friday, 5 a.m. to 7 p.m., and Saturday, from 9:30 a.m. to 2 p.m. (Pacific Time).

Costco Home Delivery Pharmacy is available 24/7 to order new or refill medication(s) and check medication status.

Call: 800-607-6861

Fax: 800-633-0334

Mail: 802 134th Street SW, Suite 140, Everett, Wash. 98204-7314

Email: WebPharmacy@Costco.com

Need help?

Call Providence Health Plan Customer Service at 503-574-7400 or 877-216-3644 (TTY: 711), Monday – Friday, 8 a.m. to 5 p.m. (Pacific Time).

Costco Home Delivery contracts with Providence Health Plan as a participating pharmacy for members. You are responsible for the arrangement of services and/or payment of services directly to Costco Home Delivery.

Mail-order pharmacies allow you to order up to a 90-day supply of medication and have them delivered to your home, saving you trips to the pharmacy. This excludes specialty and compounded medications.

All covered members and their qualified dependents have access to this mail-order pharmacy. Postal Prescription Services will verify your eligibility when you register.

Ordering medication(s):

• Create a Postal Prescription Service account online at PPSRx.com.
• Call a Postal Prescription Service agent at 503-797-2100 or 800-552-6694, Monday – Friday, 6 a.m. to 6 p.m., and Saturday, from 9 a.m. to 2 p.m. (Pacific Time).
• Order or refill your medication(s) online at PPSRx.com or call 800-552-6694.
• Your doctor may send a fax for new and/or refill orders to 800-723-9023.

Helpful resources:

• Postal Prescription Service Quick Guide
• Postal Prescription Service FAQ

Contact information:

Postal Prescription Service is available Monday – Friday, 6 a.m. to 6 p.m., and Saturday, from 9 a.m. to 2 p.m. (Pacific Time).

Postal Prescription Service automated refill line is available 24/7. Call 800-552-6694.

Fax: 800-723-9023

Online: PPSRx.com

Mail: P.O. Box 2718, Portland, Ore. 97208

Need help?

Call Providence Health Plan Customer Service at 503-574-7400 or 877-216-3644 (TTY: 711), Monday – Friday, 8 a.m. to 5 p.m. (Pacific Time).

Postal Prescription Services contracts with Providence Health Plan as a participating pharmacy for members. You are responsible for the arrangement of services and/or payment of services directly to Postal Prescription Services.

Specialty medications are used to treat complex health conditions that require education, monitoring, and handling instructions and often require approval before they can be prescribed. To make sure you have the information you need, you’ll have access to a dedicated specialty care team. They’ll provide you with extra support, including where to obtain your specialty medication, and how to get financial assistance (when available).

Specialty drugs can be found within your plan formulary, noted by "specialty."

• Specialty drugs are available through Credena Health.
• Some specialty drugs are denoted as limited access (LA) on the formulary. Credena Health may not be able to provide some of these medications since they are limited to few specialty pharmacies.
• For more information, call Providence Health Plan Pharmacy Customer Service at 503-574-7400 or 877-216-3644 (TTY: 711), Monday - Friday, 8 a.m. to 5 p.m. (Pacific Time).

List of drugs covered under your plan.

You have access to a comprehensive prescription drug formulary designed to promote safe, effective, and affordable drug therapy. Your formulary is easy to search, includes information about the drug, and includes special considerations about the prescription, if they apply.

• 2026 formulary
• 2025 formulary

There are three ways to search the formulary:

• Use the alphabetical list to search by the first letter of your medication.
• Search by typing part of the generic (chemical) or brand (trade) names.
• Search by selecting the therapeutic class of the medication you are looking for.

Access your benefit summary to learn more about your plan coverage and benefits.

• 2026 benefit summary (PDF coming soon)
• 2025 benefit summary (PDF)

Learn about how and when to use these pharmacies here.

Rx Savings Solutions

Providence Health Plan partners with Rx Savings Solutions to provide a free, confidential service to help you save money on medication(s). This service is linked to your health plan, so everything is personalized for your medication(s) and plan coverage. Rx Savings Solutions alerts you via mail, email, phone call, or text (if you enroll in SMS messaging) if you have an opportunity to save on your medication(s). A team of certified pharmacy technicians and pharmacists help walk you through every step of the process.

Here's how it works:

• Rx Savings Solutions uses software connected to your health plan. It looks at all the the medication(s) you take and finds options that may save you money.
• Your online account shows which lower-cost medications may be available under your plan coverage and lets you compare prices. It also automatically lists all medications you’ve filled so everything is in one place.
• Rx Savings Solutions will contact you anytime you can be spending less.
• The Rx Savings Solutions pharmacy support team is available to work with your doctor and pharmacy to help you switch to lower cost drugs, pharmacies, or mail order pharmacy.

To get started or log in to your Rx Savings Solutions account, myrxss.com/ASO/ProvidenceHealthPlan.

To learn more about Rx Savings Solutions, click here.

Need help? Call Rx Savings Solutions at 800-268-4476 (TTY: 1-800-877-8973), Monday - Friday, 5 a.m. to 6 p.m. (Pacific Time).

• Visit the Pharmacy FAQ to get answers to common questions about prescription drug coverage and information to help you make the most of your plan benefits.
• Under the Patient Protection and Affordable Care Act (PPACA), Providence Health Plan offers coverage for certain preventive medications, including some over-the-counter options, with no copayment, coinsurance, or deductible required, though a prescription may be necessary. Learn more about coverage of Affordable Care Act (ACA) preventive medications.
• Visit our Pharmacy Resources page to learn about brand-name and generic drugs, our preferred retail pharmacy network, cost-saving programs, and more.

• Prescription Drug Reimbursement Request Form (PDF)
• Prescription Drug Prior Authorization Request Form (PDF)
• Prescription Drug Prior Authorization Request Form (secure online form)
• Uniform Prior Authorization Prescription Request Form (PDF)