Moda Health pharmacy benefits
Moda Health offers comprehensive pharmacy benefits that include wide networks, carefully crafted formularies, online tools for members and more. That means your employees can access medications conveniently, get useful communications, and make the best decisions for their healthcare journey.
Pharmacy options
Every one of your employees has different needs for getting their prescriptions. That’s why we have partnered with trusted pharmacies to empower your employees to get their medications easily.
Navitus network
Our pharmacy plans are designed to provide seamless access to medications while delivering high level of service, clinical oversight, and member support. Through carefully managed drug lists, extensive networks of local and national pharmacies, personalized specialty pharmacy care, and convenient mail-order options we help members access the medications they need while supporting safe, effective, and affordable care.
Mail-order prescriptions
We also have mail-order services for members with ongoing medication needs. If your plan allows, your employees can order up to a 90-day supply of medication to be delivered by mail.
Choosing the right medications
The Moda Health preferred drug 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.
Search our large group formulary to see medications by tier and coverage level.to see medications by tier and coverage level.
Health support, through the Member Dashboard
You and your employees have access to pharmacy information through the Member Dashboard. Capabilities of the Member Dashboard include:
- Checking medication costs
- Viewing prescription history
- Finding in-network pharmacies
- Reviewing drug interactions
Group plan formularies and medication tiers
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
We're here to help. For questions about our group health plans, please contact the Moda Health sales team at 503-243-3948 or toll-free at 800-578-1402.
If you want to know about your existing plan
To learn more about your 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.