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Frequently Asked Questions for Eligible Individuals

Program Qualifications

To qualify for this program:

  • You must be an Oregon resident who is uninsured or underinsured for prescription drug coverage.
  • Each individual must apply, including children.
  • Note: Enrollment in the Oregon Health Plan will NOT disqualify an individual.

General Questions

You are an Oregon resident if you have an Oregon address.
Coverage starts as soon as you receive your I.D. card.
You should receive an I.D. card within seven business days of applying. If you do not receive a card within that timeframe, call 1-800-913-4284. 
All FDA-approved prescriptions prescribed by a licensed clinician are eligible for a discount. This program does not give discounts for over-the-counter drugs, which are drugs you can purchase without a prescription.
The pharmacies are listed on this website under "Find a Pharmacy." You can also ask the pharmacy that you usually do business with if they are part of the OPDP network.
There is no enrollment fee for enrolling in this program. Should a nominal fee ever become necessary, you will have no obligation to remain in the program. 
We expect that to happen sometimes because most of the discount cards previously issued are sponsored by a specific pharmaceutical manufacturer, so their drugs may receive a greater discount. However those same manufacturer discount cards won’t offer that good discount on other manufacturer’s drugs. OPDP discounts are across the board, so keep the card for new prescriptions you might have. It does not cost the pharmacist anything to get an estimate of the cost of an Rx through the OPDP so he can tell you before you purchase the prescription what the cost will be. Also remember that the greatest discounts through OPDP will be on generic drugs!
Ask your physician or pharmacist if there is a generic or equivalent drug that may be cheaper than the drug you are prescribed, or look up drug costs on this website under "Look Up Drug Cost."
Discounts will vary depending on whether a drug is generic or brand. The greatest discounts are on generics and they can be as high as 80%. The average discount is probably about 50%.
Brand drugs are still on patent so they are only manufactured by one company. Because there is no competition, these are the most expensive drugs. Generic drugs are made when a drug comes off of patent. Several manufacturers can now make the drug so competition drives the cost down. The FDA finds generics as safe as brand name drugs. Also, evidence-based research has shown that higher cost brand drugs are NO MORE effective than lower cost alternatives.
You have some options:
You can can find information here: 
No. The I.D. card does not expire.

​Yes. You can choose to save, using the OPDP card if your insurance does not cover a particular prescription or when pricing with the OPDP card is better than your own insurance.

Application Questions

Yes, each person, including children, must enroll separately so each has a member number.
Call 1-800-913-4146. For those who like to get on-line, they can enroll on the OPDP website: www.opdp.org
A Spanish, Russian and Vietnamese applications are available online at www.opdp.org.

OPDP and Medicare Part D Questions

The OPDP discount card may give you a better discount than your plan gives you when you are paying 100% of the drug cost. You will pay 50% of name brands and 93% of generics. This will change every year until 2020 during the “gap in coverage.” This gap happens when an individual’s prescription drug expenses are between $2,840 to $6,447.50 (2011) in a given year and they are responsible for 100% of their drug costs.
You can call 1-800-Medicare (1-800-633-4227) or your Medicare health plan for questions about your Medicare options. You can also call the Senior Health Insurance Benefit Assistance (SHIBA) program at 1-800-722-4134 for assistance.
You can remain an OPDP member and use your card for discounts at OPDP pharmacies. However, you need to know that individuals who are eligible for Medicare Part D who choose not to enroll by May 15, 2006, will have a 1% per month penalty applied to their premium when they do enroll. In other words, if you choose to enroll a year later, your premium will be 12% higher.
If you want your OPDP expenses to apply towards your Medicare Part D costs, you must send your receipt to your Medicare Plan. Right now, the only way to get this information to your plan is to send it in by mail. If that changes we will notify you. In the meantime, it is very important to send the paper receipt to your plan and notify them that it needs to be credited toward your Medicare deductible and out–of-pocket expense.
You may go to a pharmacy on the OPDP plan and use your discount card. However, you should check with your Medicare plan if you intend to use a pharmacy not on their list to ensure they will honor the receipt for your prescription as Part D expense.
If the prescription drug is not on your Medicare Plan’s drug list, it cannot be counted toward your out-of-pocket expenses. However, every Medicare plan has an exception and appeal process that you can follow to ask the plan to pay for drugs that are not on their list. If the plan approves your exception, your drug costs can count toward your Medicare deductible.

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