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Provider document update: Non-contracted Behavioral Health Fee Schedule effective June 1, 2025.

Provider updates

Pharmacy test strip change

Oct 31, 2025, 17:16 PM

What is changing?

CareOregon and CareOregon Advantage will be updating which diabetic testing supplies (monitors and test strips) are part of their pharmacy-dispensed formularies. Effective January 1, 2026, CareOregon and CareOregon Advantage are changing which brands of blood glucose test strips and meters are covered through the pharmacy benefit.

When will this go into effect for CareOregon?

Effective January 1, 2026, CareOregon will only cover FreeStyle and TrueMetrix test strips. Existing CareOregon users can continue using their previous preferred product until January 1, 2026. All other brands will not be covered after this date.

When will this go into effect for CareOregon Advantage?

Effective January 1, 2026, CareOregon Advantage will only cover FreeStyle and Accuchek regardless of whether they are new starts or existing users. All other brands will not be covered.

Meter-restrictions for CareOregon

If members hit a quantity limit with the new meter, a free meter program can be applied. CareOregon members will be able to get a meter at the pharmacy with no rejected claims.

Meter-restrictions for CareOregon Advantage

If members hit a quantity limit with the new meter, a new meter program can be applied. CareOregon Advantage members that got a meter in the last two years may experience a claim rejection, but the pharmacy can bill the manufacturer for a free meter.

Will members experience a cost with this change?

No, members should not experience any costs with this change. New prescriptions are likely needed to be sent to the member’s pharmacy so they can make this change.

Who do providers reach out to for questions? 




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