Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

Specialty Pharmacy Benefits

What are specialty medications?

Specialty medications are often prescribed to treat complex chronic health conditions and require special handling techniques, careful administration, and an individualized ordering process. Details about our clinical services and a list of specialty medications can be accessed on the OEBB-specific Moda Health website, through the Member Dashboard, or by contacting the Moda Health Navigators (Pharmacy Customer Service) at 503-265-2911, toll-free at 866-923-0411.

Any new specialty drug approved by the Food and Drug Administration (FDA) is not covered until approved by Moda Health.

Where should I get specialty medications (e.g., self-injectables, biologics, various other medications)

Specialty medications must be accessed through the exclusive specialty pharmacy. These prescriptions may be limited to a 31-day supply and require prior authorization. You can get information on your plan's coverage and out-of-pocket costs by clicking the Pharmacy tab in the Member Dashboard or by calling the Moda 360 Health Navigator team (Pharmacy Customer Service) at 866-923-0411.

Ardon Health Specialty Pharmacy (Ardon) is the preferred specialty pharmacy for OEBB members. Contact information for Ardon is at, but Moda 360 Health Navigators can help with many questions.

How do I get started with the exclusive specialty pharmacy?

Ardon Health Specialty Pharmacy is the exclusive specialty pharmacy for OEBB members with Moda plans. Ardon can enroll you into the program over the phone, by contacting your physician for prescription information, or by transferring an existing prescription from another pharmacy. To contact Ardon, visit

What can I do if I am unable to fill my prescription before I run out of medication?

If you run out of your specialty medication before you can get set up with the exclusive specialty pharmacy, call the Moda Health Navigator team at 866-923-0411. A Health Navigator will work closely with you, your provider, and the exclusive specialty pharmacy to help you get the medication.

What if I can't afford my specialty copay?

The specialty pharmacy will research available financial assistance programs to see if there is any support available to you. If a program is identified, the pharmacy will work with you to apply for financial assistance.

How can I pay for my specialty prescription order?

When you schedule your order, payment can be made with a credit card, debit card, or check. All payments must be made in advance and prior to the product being shipped.

How will my specialty order be shipped?

If your medication is refrigerated, your order will be shipped via overnight delivery in special packaging to ensure the product remains refrigerated. If your medication does not require refrigeration, the exclusive specialty pharmacy will ship it to ensure it is delivered on the date the order is requested to be received.

The specialty pharmacy will also ship, with your order, any additional supplies you may need in order to administer your medication, such as syringes, alcohol swabs and sharps containers.

How much of my specialty medication will be shipped to me each time?

Your benefit authorizes up to a 31-day supply of most specialty medications. However, you may be able to receive up to a 90-day supply of certain specialty medications when allowed.

Why am I limited to a 31-day supply for most specialty medications?

The Moda Health Specialty Drug Program provides payment for up to a 31-day supply of most specialty medications to avoid waste resulting from abrupt discontinuation. A medication can be discontinued for many reasons, including:

  • Intolerable side effects
  • Less-than-ideal results from the medication
  • Dangerous changes in laboratory results

We're sorry, this information is not available in . Please use the dropdown at the top of the page if you would like to view information for another state.

Moda Health Provider Network

Find a physician, pharmacy or clinic

Opt in for medical

Tell us you're interested and we'll be in touch with details.

Get Started  Get Started

Member Dashboard


If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service


If you can't find an answer, please feel free to contact our Customer Service

Employer web tools

Benefit Tracker

Check benefits and eligibility

Log in

Account help

Request an account

Provider Reports

For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO

Log in

Join our email list

Benefit Tracker

Check benefits, eligibility, incentive and utilization

Log In

Account help

Create an account

Producer web tools


We have exciting news to share. ODS is changing its name to Moda Health.

Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.

Together, we can be more, be better.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:


Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Changing your location to Oregon

You can return to your previous location in the site header.