Pharmacy Services has an essential role in the Oregon Health Authority, which provides health insurance coverage to more than 850,000 people through programs like the Oregon Health Plan, Oregon Educators Benefits Board, Public Employers Benefits Board and others. With the large number of people covered, Pharmacy Services uses these numbers to negotiate and reduce the cost of prescription drugs for all Oregonians. Pharmacy Services programs include:
Oregon Prescription Drug Program (OPDP)—Since its inception in 2006, the program has saved more than $30 million for those Oregonians seeking lower prescription prices. Since the inception of the OHA, these savings will be increased by $4.2 million annually.
CAREAssist (ADAP)—Provides help purchasing drugs for those individuals who have HIV/AIDS. Since the inception of the OHA, the program has established a new delivery model that will save $4 million annually.
Oregon Health Plan (OHP)—Working closely with the Division of Medical Assistance Programs pharmacy staff, Pharmacy Services has reformed the way prescription drugs are purchased for these Medicaid eligible Oregonians, saving funds that can be redirected into other portions of health care.
Pharmacy Reimbursement Methodology - The Oregon Health Authority is developing a new way to compensate pharmacies for the services they provide to the OHP fee-for-service population. Beginning in January 2011, we will begin an Average Acquisition Cost (AAC) reimbursement model. The goal of the model is to establish a transparent, timely and accurate pharmacy reimbursement system based on the actual cost (invoice) to the pharmacy for the drug dispensed plus a statistically validated dispensing fee.