When you fill your prescriptions through one of the PeaceHealth pharmacies in the Tier I network, you will receive enhanced benefits. This network includes:
Mail order prescriptions: For fewer trips to the pharmacy, consider enrolling in mail-order services through a PeaceHealth pharmacy to get your medication delivered right to your door. PeaceHealth pharmacy mail order is the only mail order option under our health plan.
Specialty pharmacy prescriptions are covered when obtained from PeaceHealth pharmacies and are limited to a 30-day supply. If PeaceHealth is not able to fill the medication, the prescription will be directed to Ardon Health or another designated pharmacy on your behalf.
If you have questions, please contact a Moda Health Navigator at 833-599-8602.
The Tier II network includes 50,000+ pharmacies nationwide, so you have more choices.
When you fill your prescription(s) at a Tier II pharmacy, you may have higher out-of-pocket costs than Tier I. That’s because the plans will cover a lower percentage of the costs for prescriptions received from Tier II pharmacies.
PeaceHealth is your only mail order option. Costco and Postal Prescription Services are not mail order options.
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Health plans in Oregon and Alaska provided by Moda Health Plan, Inc.
This site is meant to help you learn about plans and healthcare for you and your family. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. If questions regarding benefits arise, the summary of benefits and coverage document is the master resource.