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To find a participating pharmacy: Visit the online Provider Directory. You can search by your member ID or provider network.

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Medication sync services can simplify your refill process. You have access to more than 34,000 participating pharmacy locations nationwide. Preferred retail pharmacy 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 preferred retail pharmacy can provide up to a 100-day supply of prescription drugs. Choose “Find a Service or Place” and click “Pharmacies.” Select Find a Pharmacy, enter your zip code and select the type of pharmacy you are looking for. Look for a pharmacy that offers “Vaccination Services” in your network. You may also call the number listed on your Providence Health Assurance member ID card for help in finding a participating pharmacy that can provide vaccinations near you.

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Immunizing Pharmacy Immunizations and vaccines are important because they help protect us from serious diseases throughout our lives – from infancy to older adulthood. When you get a vaccine, it trains your body to fight off germs without getting sick. This not only keeps you healthy, but it also helps stop the spread of diseases to other people, making the whole community safer. Talk to your doctor or pharmacist about the specific needs of you and your family. Here is a list of covered CDC-recommended routine vaccines. Before You Go to the Pharmacy Call the pharmacy of your choice for complete details and confirm: The pharmacy’s participation in Providence Health Assurance’s Immunization Program. If you can just walk in or if you need to schedule an appointment. *Remember to bring your Providence Health Assurance member ID card with you so they can confirm your insurance. Members may have a $0 co-pay at in-network pharmacies for covered vaccines. To get specifics on what your plan covers, check your plan materials or call us at 503-574-8000 (toll-free: 1-800-603-2340), 8 a.m. to 8 p.m. (Pacific Time) 7 days a week, October 1st through March 31st and Monday - Friday, April 1st through September 30th. Immunizations and vaccines are important because they help protect us from serious diseases throughout our lives – from infancy to older adulthood.

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For more information, call Customer Service at 503-574-8000 or 1-800-603-2340 (TTY: 711), 8 a.m. to 8 p.m. (Pacific Time) 7 days a week, October 1st through March 31st and Monday - Friday, April 1st through September 30th. Customer Service also has free language interpreter services available for non-English speakers. Specialty drugs are prescriptions that require special delivery, handling, administration and monitoring by a pharmacist. **Please note: this list is subject to change and can vary by plan.

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Your eligible medications will arrive at your doorstep, with prescription refill dates synchronized to minimize multiple deliveries or trips to the pharmacy. To start receiving your medications in customized dose packaging, choose from our Preferred Home Delivery Options: Simplify Your Medication Routine with Customized Dose Packaging Personalized dose packaging is designed to make managing your medications easier and more convenient. To start receiving your medications in customized dose packaging, choose from our Preferred Home Delivery Options: Medication Sync Services Medication sync services can simplify your refill process. Get all your prescriptions filled at the same time each month, saving you the hassle of multiple trips to the pharmacy. Contact your preferred pharmacy to get started. Many nationwide chains, regional chains and independent pharmacies contract with Providence Health Assurance to administer vaccines to our members. Call the pharmacy of your choice for complete details and confirm: The pharmacy’s participation in Providence Health Assurance’s Immunization Program. Mail Order Pharmacy We want to make it easy for you to get the medications you need, and we want to help you save time and money. You can get a 100-day supply of your medications, usually at a reduced cost at mail-order pharmacies. We want to make it easy for you to get the medications you need, and we want to help you save time and money.

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Customized Dose Packaging Simplify Your Medication Routine with Customized Dose Packaging Personalized dose packaging is designed to make managing your medications easier and more convenient. Each package contains presorted, sealed pouches organized by the time of day—morning, afternoon, evening, or bedtime—ensuring you take the right medication at the right time, every time. This eliminates the hassle of daily or weekly pill containers. For added convenience, this packaging service is available through our preferred home delivery pharmacies. If you’re taking multiple medications daily, our home delivery options provide this service at no extra cost. Providence Medicare Advantage Plans wants to make your prescription transition as safe and as easy as possible.

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Check with your network pharmacy for requirements and availability. COVID-19 Hepatitis A and Hepatitis B Herpes Zoster (also known as Shingles) Human Papillomavirus (HPV) Influenza (flu shot) – inhalation or injection Measles, Mumps and Rubella Meningococcal (Meningitis) Pneumococcal (Pneumonia) RSV (Respiratory Syncytial Virus) Tetanus/diphtheria/pertussis Varicella (Chickenpox) **Please note: this list is subject to change and can vary by plan. Not all vaccines on this list may be available at all pharmacies. Contact your local participating pharmacy prior to your visit to confirm which vaccines they offer. Finding Participating Pharmacies Many nationwide chains, regional chains and independent pharmacies contract with Providence Health Assurance to administer vaccines to our members. Review the information below for help guiding you through any prescription drug transition(s). Please read about our transition policy (PDF) for more information. New member transition 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. 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. New member transition restrictions The Centers for Medicare and Medicaid Services (CMS) restricts coverage of some drug categories.

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Standard retail pharmacy A standard retail pharmacy can provide up to a 100-day supply of prescription drugs plus any difference in the cost if you were to have used a preferred retail pharmacy for an 84-100 days supply. A standard retail pharmacy can provide up to a 100-day supply of prescription drugs plus any difference in the cost if you were to have used a preferred retail pharmacy for an 84-100 days supply. Specialty pharmacy 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." 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 drugs since they are limited to only a few specialty pharmacies. Providence Medicare Advantage Plans will not cover these drugs during your transition. The following are examples of commonly excluded categories not covered under Medicare Part D: Non-prescription drugs (also called over-the counter) Drugs when used to promote fertility Drugs when used for the relief of cough and cold symptoms Drugs when used for cosmetic purposes or to promote hair growth Prescription vitamins and mineral products, except prenatal vitamins and fluoride preparations Drugs when used for the treatment of sexual or erectile dysfunction, such as Viagra, Cialis, Levitra, and Caverject Drugs when used for the treatment of anorexia, weight loss, or weight gain Outpatient drugs for which the manufacturer seeks to require that associated tests or monitoring services be purchased exclusively from the manufacturer as a condition of sale The Centers for Medicare and Medicaid Services (CMS) restricts coverage of some drug categories. The following are examples of commonly excluded categories not covered under Medicare Part D: Non-prescription drugs (also called over-the counter) Drugs when used for the relief of cough and cold symptoms Drugs when used for cosmetic purposes or to promote hair growth Prescription vitamins and mineral products, except prenatal vitamins and fluoride preparations Drugs when used for the treatment of sexual or erectile dysfunction, such as Viagra, Cialis, Levitra, and Caverject Drugs when used for the treatment of anorexia, weight loss, or weight gain Outpatient drugs for which the manufacturer seeks to require that associated tests or monitoring services be purchased exclusively from the manufacturer as a condition of sale New member transition as a long-term care resident 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).