Pharmacy

Drug Formulary

The formularies are lists of drugs that are covered by CareOregon or CareOregon Advantage. Click on the links below to view the formulary in a PDF format.

• 2010 CareOregon OHP Formulary
• 2010 CareOregon Advantage Formulary

To obtain a print copy of the CareOregon or CareOregon Advantage Drug Formulary, please call 503-416-1741.

The CareOregon OHP Formulary is also available on your mobile and handheld devices from Epocrates.com.

Formulary Updates	Posted
CareOregon Advantage (Medicare) Formulary update	July 26, 2010
CareOregon (OHP) Formulary update	July 26, 2010
HEDIS Drugs to be Avoided in the Elderly and DESI LTE Drugs	August 5, 2009

CareOregon OHP/Medicaid Formulary Search

• CareOregon OHP/Medicaid Formulary Search

CareOregon OHP Formulary Options for Commonly Prescribed Restricted Drugs

This document contains formulary alternatives for the most commonly requested drugs that are not on the CareOregon/Oregon Health Plan (OHP) formulary or that require prior authorization or step therapy. Click here to view the document in a PDF format.

CareOregon OHP Prior Authorization
Use Criteria for Selected Drugs

Click here to view the criteria in a PDF format.

2010 CareOregon Advantage Medicare Part D
Prior Authorization Criteria

This document contains use criteria for the drugs on the 2010 CareOregon Advantage Formulary that require prior authorization. Click here to view the criteria in a PDF format.

Forms

• Prior Authorization and Formulary Exception Request Form (OHP and Medicare)
• Injectables Billed to the Medical Benefit Form (OHP)
• Injectables Billed to the Medical Benefit Form (Medicare)
• Hepatitis C Treatment MRF
• Nutritional Supplement MRF
• Sample Medication Contract (OHP and Medicare)
• Synagis MRF
• Wellpartner Mail Order Form (OHP)

Policy Updates and other notices	Posted
OHP Injectable Mental Health Medication Notice	July 27, 2010
Policy: COA Medical Benefit Injectables Requiring Prior Authorization	July 26, 2010
Policy: OHP Medical Benefit Injectables Requiring Prior Authorization	July 26, 2010
Policy: Respiratory Syncytial Virus (RSV) Prophylaxis	April 20, 2010
Pharmacy Network Notice: PBM change to Express Scripts, Inc.	December 3, 2009
Pharmacist-Administered Flu Vaccine Policy	October 13, 2009
Pharmacy Payer Sheet - Medicaid 2010	December 28, 2009
Pharmacy Payer Sheet - Medicare 2010	January 14, 2010
Pharmacy Memo: NPI Requirements	July 17, 2008

Opioids and Chronic Non-Malignant Pain: A Clinician's Handbook

Click here or on the image at right to view the handbook in PDF format.

Medication Safety Alerts

We encourage CareOregon providers to check the U.S. Food and Drug Administration MedWatch web site and sign up for the FDA Drug Safety Newsletter to receive safety alerts via e-mail. We will inform you if CareOregon takes any formulary actions in response to a safety alert.

Adverse Events and Errors

Be sure to report serious adverse events and medication errors. A medication error is "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer. Such events may be related to professional practice; healthcare products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use."

• Report serious adverse medication reactions, product quality problems and usage errors online at www.fda.gov/medwatch, by phone or by submitting a MedWatch 3500 form by mail or fax.
• Report medication errors to CareOregon at 503-416-4100 or toll-free at 1-800-224-4840.

Tamper-resistant Prescriptions

The Federal tamper-resistant prescription pad requirement that began on April 1, 2008, DOES NOT apply to CareOregon members.

• DHS document outlining the requirements and exclusions
• Important TRPP reminders

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