Skip to Main Content

Our plans use comprehensive formularies — a list of drugs covered by the plan — to meet members needs. The formularies do not contain the names of all medications available in the market.

Search the formularies by medication name or type. Search results include:

  • The drug tier, which determines the copay (amount) or coinsurance (percentage) that the member will be required to pay for the drug.
  • Any restrictions for the drug, such as prior authorization, quantity limits or step therapy requirements.
  • The effective date of the formulary and the date it was last updated.

You may also download and print the formularies.

If a medication is not listed, please contact Customer Service for assistance at 800-832-4580 (TTY 800-735-2900), from 8 a.m. to 8 p.m., Monday through Friday.

2021 List of Covered Drugs

For Small Group Standard and Performance Plans:

Search Small Group Drugs

2021 Small Group Formulary
2022 Small Group Formulary

For Large Group Everyday Choices and Momentum Plans:

Search Large Group Drugs

2021 Large Group Formulary
2022  Large Group Formulary

Network Pharmacy

A network pharmacy is one that we have made arrangements for them to provide prescription drugs to plan members. Review the pharmacy directory to see all our in-network pharmacies throughout the United States.

Bi-Mart Pharmacies Are Closed

Bi-Mart pharmacies have closed. Prescriptions have been transferred to Walgreens Pharmacy. Please refer to the following regarding where your prescriptions have been transferred:

  • Bi-Mart Pharmacy #606 - Albany (2272 Santiam Hwy SE) is closed. Prescriptions have been transferred to Walgreens Pharmacy #6530 at 1700 Pacific Blvd. SE, Albany.
  • Bi-Mart Pharmacy #604 – Corvallis (2045 NW 9th Street) is closed. Prescriptions have been transferred to Walgreens Pharmacy #639 at 1555 SW 53rd Street, Corvallis.
  • Bi-Mart Pharmacy #639 – Corvallis (1555 SW 53rd Street) is open and has become a Walgreens. Your prescriptions will remain at this location.
  • Bi-Mart Pharmacy #665 – Lebanon (2680 S. Santiam Hwy) is closed. Prescriptions have been transferred to Walgreens Pharmacy #11399 at 3300 Burdell Blvd., Lebanon.
  • Bi-Mart Pharmacy #682 - Lincoln City (1030 SE Oar Avenue) is closed. Prescriptions have been transferred to Walgreens Pharmacy #9875 at 4048 N.E. Highway 101, Lincoln City.
  • Bi-Mart Pharmacy #685 – Sweet Home (1980 Main Street) is closed. Prescriptions have been transferred to Walgreens Pharmacy #11399 at 3300 Burdell Blvd., Lebanon.