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IMPORTANT: CareOregon and CareOregon Advantage Formulary Information

January 16, 2017

CareOregon and CareOregon Advantage formularies cover a wide range of prescription drugs that can be filled at the pharmacy. While you can find limited information in the electronic health records on what is covered, the formulary documents found on our websites provide the best resources.

For Medicaid Providers (Health Share of Oregon, Yamhill Community Care, Jackson Care Connect, Columbia Pacific):
For up-to-date and complete listings of drugs covered on the Medicaid formulary, go to our Formulary Lists and Updates page on this website.

Any limits to coverage including prior authorization or quantity limits can be found on our Provider Forms and Policies page.

The Medicaid formulary and the criteria required for drugs that have limits for prior authorization are updated monthly, but posted about every two months. In addition, when we add drugs or remove drugs from the Medicaid formulary, these changes are identified in the section labeled “Formulary Updates.”

For Medicare Providers (CareOregon Advantage):
For up-to-date and complete listings of drugs covered by our Medicare plans and any limits to coverage including prior authorization, step therapy, or quantity limits, please visit the Rx and Drug Information page of our CareOregon Advantage website.

The Medicare formularies and the criteria required for drugs that have limits for prior authorization and step therapy are updated monthly. In addition, when we add drugs or remove drugs from the Medicare formularies, these changes are identified in the section labeled “Formulary Updates.”


Thank you for providing great care to our members. If you have questions or concerns about this notice, please call one of the numbers below, depending on your location and type of formulary you are inquiring about.

For Health Share/CareOregon providers: 1-800-224-4840, Monday to Friday 8 a.m. to 5 p.m.

For Columbia Pacific CCO providers: 1-855-722-8206, Monday to Friday 8 a.m. to 5 p.m.

For Jackson Care Connect providers: 1-855-722-8208, Monday to Friday 8 a.m. to 5 p.m.

For Yamhill Community Care providers: 1-855-722-8205, Monday to Friday 8 a.m. to 5 p.m.

For CareOregon Advantage providers: 1-888-712-3258, daily from 8 a.m. to 8 p.m.