Pharmacy resources

Formulary

A formulary is a list of generic and brand name prescription drugs covered under your health plan. Providence Health Plan is pleased to provide plan members with a comprehensive prescription drug formulary designed to promote safe, effective and affordable drug therapy.

On the formulary, drugs are categorized into tiers. Drugs in the lowest tier cost the least, while drugs in higher tiers like specialty medications cost more. All the drugs in our formulary are approved based on safety, quality, and cost-effectiveness.

Your formulary: 

• Is easy to search
• Includes information about the medication
• Includes special considerations about the prescription, if they apply 
   

Participating pharmacies

You have access to thousands of participating pharmacy locations nationwide. Take advantage of retail and preferred pharmacies for 30 or 90-day supplies. To find a pharmacy, visit the provider directory.

Mail-order

Get a 90-day supply of medication delivered directly to your home. This service is available from both Costco Home Delivery and Postal Prescription Services (PPS).

Specialty pharmacies

Specialty drugs include those that require careful handling or administration (like refrigeration or complex injection instructions). Your specialty care team will help coordinate everything for you. We also offer support to help reduce costs.

SmartRx Assist

SmartRx Assist reduces your copay to $0 on select specialty medications. Eligible members are enrolled automatically. A specialized patient navigator will assist you every step of the way.

List of eligible medications

Pharmacy FAQ

Get answers to frequently asked questions about prescription drug coverage, prior authorization, using the formulary, and specialty medication.