Group Pharmacy plans

Why choose Moda Health

Moda Health has the right pharmacy benefits to meet your needs with wide networks, carefully crafted formularies, online tools for members and more.

Preferred drug program

This program uses tiers to provide the right prescriptions at the right prices. Your employees and their providers can choose between value, select, preferred, non-preferred, preferred specialty or non-preferred specialty tier drugs. Each tier has a different copay or coinsurance amount, based on your benefit.

Pharmacy benefits, and then some

Navitus network
The Navitus Network includes access to over 95% of pharmacies in Oregon, plus more than 65,000 pharmacies nationwide. This means your employees can fill prescriptions almost anywhere, including these local and national drug store chains:

• Costco
• CVS
• Fred Meyer
• Safeway and Albertsons
• Walgreens
• Walmart

Locate a pharmacy in the Navitus network >

Locate a pharmacy in ArrayRx core network >

Locate a pharmacy in ArrayRx broad network >

Mail-order services

If your employees have chronic health conditions, our mail-order services may be for them. This program is open to members who require ongoing treatment for conditions like high blood pressure, asthma, or diabetes.

If their plan allows, they can order up to a 90-day supply of medication. To get started, contact either:

• Costco Mail Order at 800-607-6861 or visit the Costco website
• Postal Prescription Services (PPS) at 800-552-6694 or visit the PPS website.

Health support, online

Member Dashboard

Members have access to the Member Dashboard, our personalized member website. Your employees will love everything they can do at Member Dashboard, including:

• Checking medication costs
• Viewing prescription history
• Finding in-network pharmacies
• Reviewing drug interactions

Members access their dashboard at modahealth.com/memberdashboard >

Formularies and medication tiers

Group plans

Search our formulary to see medications by tier and coverage level.

• Prescription drug list for Large Group
• Preferred Drug List - interactive tool for plans coverage details

Questions?

If you're shopping for pharmacy benefits

Call the Moda Health Sales and Account Service team at 503-243-3948 or toll-free at 800-578-1402, or contact your producer.

If you want to know about your plan

To learn more about Moda Health pharmacy benefits, including formularies and medication tiers, please contact Moda Health Pharmacy Customer Service at 503-243-3960 or toll-free at 888-361-1610. Members can also access this information by visiting their Member Dashboard.