Find Oregon Administrative Rules and supplemental information administered by the Health Systems Division.
Recent rule filings
You can view Pharmaceutical Services Program rules as filed with the Secretary of State
(please note that rules filed by the first of the month will not be posted on the Secretary of State website until the middle of the filing month).
Each rulebook is an interactive PDF that contains all program rules effective on the "Effective Date" listed for the rulebook. If you need an older rulebook not listed here, email email@example.com.
Supplemental information and guidelines
Also see our frequently asked questions about OHP fee-for-service prescription coverage
and Oregon Medicaid Pharmacy Quick Reference
(includes current pharmacy benefit manager list).
For resources provided by the OSU College of Pharmacy's Drug Use Review and Management (DURM) Program, including the Oregon State Drug Review, visit the DURM website.
Supplemental rebate information
Billing diabetic supplies
Oregon Medicaid PA Criteria
If you want to view criteria older than the last five versions, select "Effective Date" to select the PA criteria by effective date.
Preferred Drug List
Physical health drugs on this list do not require PA. Lists before 2012 are in the administrative rulebooks. You can also use the Searchable PDL
Mental Health Drug Carve Out List
OHA updates this list
quarterly. It lists all “mental health drugs”, as defined in OAR
410-141-3070, that are carved out
of CCO pharmacy benefits and are reimbursed directly by OHA on a fee-for-service
basis. This list does not determine coverage,
and is subject to change at any time as new drugs come to market, are
discontinued, or in rare instances, are reclassified.