A formulary is your list of approved drugs. Use this page to access our searchable database and PDFs to learn whether your prescription drug is covered by your Providence Medicare Advantage Plan, as well as information about prior authorization and step therapy.
In addition to formulary information, use this page to access information about:
If you have questions about your plan or formulary choices, please contact customer service.
(except Choice + Rx (HMO-POS), Dual Plus + Rx (HMO D-SNP), and Sycamore + Rx (HMO))
The formulary above is for members of:
The formulary above is for members of:
The formulary above is for members of:
The formulary above is for members of:
You have access to more than 36,000 participating pharmacy locations nationwide.
Not a member? Use our zip code tool to view the plans in your area.
Find a pharmacy
A retail pharmacy can provide up to a 30-day supply of prescription drugs. Search the pharmacy directory for a pharmacy near you.
A preferred retail pharmacy can provide up to a 100-day supply of prescription drugs. Search the pharmacy directory for a pharmacy near you
A mail-order pharmacy can provide up to a 100-day supply of maintenance drugs and specializes in direct delivery to your home.
Costco contacts, FAQ, and how-to guide
Contact information
Mon – Fri 5 a.m. to 7 p.m. PT, Sat 9:30 a.m. to 2 p.m. PT
Pharmacy is available 24/7 to refill prescriptions, order new prescriptions and check prescription status.
Phone: 1-800-607-6861
Fax: 1-800-633-0334
Mailing address:
802 134th St. SW Ste 140, Everett, WA 98204-7314
email: webpharmacy@costco.com
Costco Home Delivery contracts with Providence Health Assurance as a participating pharmacy for members. You are responsible for arrangement of services and/or payment of services directly to Costco Home Delivery.
Questions?
Contact Postal Prescription Services at:
Website: www.ppsrx.com
Phone: 503-797-2100 or 800-552-6694
6 a.m. to 6 p.m. (Pacific Time), Monday - Friday
9 a.m. to 2 p.m. (Pacific Time), Saturday
Mailing address:
PO Box 2718, Portland, OR 97208
Automated refill line available 24/7, 365 days a year:
800-552-6694
Postal Prescription Services contracts with Providence Health Assurance as a participating pharmacy for members. You are responsible for arrangement of services and/or payment of services directly to Postal Prescription Services.
Specialty drugs are prescriptions that require special delivery, handling, administration and monitoring by a pharmacist. These drugs are listed on the Providence Health Assurance formulary with a status of "specialty."
Providence Medicare Advantage Plans partners with Rx Savings Solutions to provide a free, confidential service to help you save money on prescriptions. This new service is linked to your health plan, so everything is personalized for your medications and insurance. Rx Savings Solutions alerts you via mail, email, or text (if you enroll in SMS messaging) if you have an opportunity to save on your prescription. A team of certified pharmacy technicians and pharmacist help walk you through every step of the process.
Set up your account today: Go to myrxss.com/ProvidenceMA or call 1-800-268-4476 (TTY 1-800-877-8973), Monday-Friday, 5 a.m. to 6 p.m. (Pacific Time)
Get started today to see how you can save! Here’s how it works:
Learn more about Rx Savings Solutions here.
Extra Help, also known as a Part D Low-Income Subsidy, or LIS, is a federal program that helps lower prescription costs and Part D (prescription) costs for Medicare Advantage members. Learn more about Extra Help by connecting with one of our team members who can help walk you through how the program works.
You can contact customer service at 503-574-8000 or 1-800-603-2340 (TTY: 711), Monday through Sunday, 8 a.m. to 8 p.m. (Pacific Time), if you need additional information, including:
Providence Medicare Advantage Plans wants to make your prescription transition as safe and as easy as possible. Review the information below for help guiding you through any prescription drug transition(s). Please read about our transition policy (PDF) for more information
You can access the Providence Medicare Advantage Plans formulary online by selecting the plan's formulary you would like see at the top of this page, or if you have questions regarding our formulary or our transition process you may contact the Providence Medicare Plans Customer Service Team at 503-574-8000 or 1-800-603-2340. If you are hearing impaired and use a Teletype (TTY) Device, please call our TTY line at 711.
Customer service is available between 8 a.m. and 8 p.m., seven days a week (Pacific Time).
As a new member to our plan, you may be taking a drug that is not on our Drug List (formulary) or has certain restrictions, such as prior authorization, step therapy or quantity limits. While you talk to your doctor to determine the right course of action for you, we will cover a temporary 30-day supply (if you have a prescription written for fewer days, we will allow multiple fills to provide up to a maximum of 30 days of medication) when you go to a network pharmacy. After your first 30-day supply of drugs that are not on our Drug List or drugs that are restricted in some way, we will require medical necessity review even if you have been a member of the plan less than 30 days.
For example, you may need a prior authorization from us before you can fill your prescription. You should talk to your doctor to decide if you should switch to an appropriate drug that is on our formulary or request a formulary exception so that we will cover the drug you take.
If you are a resident of a long-term care facility, we will cover a temporary 31-day transition supply (unless you have a prescription written for fewer days). If necessary, we will cover more than one refill of these drugs during the first 90 days you are a member of our plan. If you need a drug that is not on our Drug List or is subject to other restrictions, such as step therapy, but you are past the first 90 days of membership in our plan, we will cover a 31-day emergency supply of that drug (unless the prescription is for fewer days) while you pursue a formulary exception.
If you are a current member of Providence Medicare Advantage Plans you may be affected by changes in our formulary from one year to the next. You may notice that the drug you are currently taking is no longer on the plan’s drug list (formulary) or the drug you are taking is now restricted in some way. If your drug is not on our drug list or is restricted in some way and you need help switching to a different drug that we cover or requesting a formulary exception, please contact your customer service team at 503-574-8000 or 1-800-603-2340 (TTY: 711). Service is available from 8 a.m. to 8 p.m. (Pacific time), seven days a week.
The Formulary and pharmacy network may change at any time. You will receive notice when necessary.
Other Pharmacies are available in our network.
Webpage current as of: 1/11/24
You are now leaving the Providence Medicare Advantage Plans website. Are you sure that ’ s what you ’ d like to do?
We believe that the health of a community rests in the hearts, hands, and minds of its people. When we take care of each other, we tighten the bonds that connect and strengthen us all.