Expect quality pharmacy benefits
Quality prescription coverage is right at the heart of a great plan. We're here to support member pharmacy needs, every step of the way.
Pharmacy care highlights
Most Moda Health medical plans include prescription benefits. Members enjoy comprehensive prescription medication coverage using the MedImpact pharmacy network. They can also choose from clinically approved treatments.
Preferred Drug Program
Through their plans, members connect with our Preferred Drug Program, a way to save money on safe and effective medications. This program uses tiers to offer members a range of prescription options.
Members work with their doctors to pick the tier medications they prefer. Each tier has a different copay or coinsurance, set by the plan.
For individual and small group, search our formulary to see medications by tier and coverage level:
For large group, explore our formulary lists to see medication tiers and coverage requirements:
- Preferred tier medication list
- Value tier drugs list
- Specialty medications list
- Medications requiring authorization
Other handy pharmacy features
Along with great benefits, members get tools that make finding medications a little easier. The "prescription price check" lets members look up estimated medication prices online.
They just log in to myModa and enter a medication name to find cost estimates by medication tier. Members can compare pricing estimates from various in-network pharmacies and see generic and/or lower-cost options to discuss with their doctor.
We're here to help. To learn more about our pharmacy program, please call us at 503-243-3960 or toll-free at 888-361-1610. TTY users, please call 711. Or, connect with our Sales and Account Services team.
We're here to help. To learn more about our pharmacy program, please call us toll-free at 866-940-0360. TTY users, please call 711. Or, connect with our Sales and Account Services team.
We're here to help. To learn more about our pharmacy program, please call us at say 907-278-2626 or toll-free at 888-374-8910. TTY users, please call 711. Or, connect with our Sales and Account Services team.