An official website of the State of Oregon
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An official website of the State of Oregon »
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Note: If you signed
an Agreement to Pay for the prescription, you
do have to pay for it. Your providers must tell you whether services are covered by OHP before they give them to you..
Your coordinated care organization (CCO) pays for most prescriptions.
The Oregon Health Authority (OHA) pays for:
To learn more about covered prescriptions, please see the OHP Preferred Drug List and Frequently Asked Questions about OHP Prescription Coverage.
If you have Medicare Part D, then OHP will only pay for prescriptions that Medicare does not cover.
If you have Medicare, you will need to pay for the prescription if:
Make sure your pharmacy knows about all your health coverage, including OHP, your CCO, Medicare Part D, and private health insurance. If you have Medicare Part D or private health insurance, your pharmacy should bill those first.
This means your provider needs to ask OHA or your CCO to approve the prescription for payment.
If you need the prescription right away and cannot wait for approval:
You can ask your CCO for an appeal. If your CCO thinks you should pay for the prescription, then you can ask OHA for a hearing. Learn more about appeals and hearings.
Visit the CCO Plans page to find your CCO's drug coverage information.
If you are not in a CCO, view the OHP Preferred Drug List and Frequently Asked Questions about OHP Prescription Coverage.
You can also get covered prescriptions and diabetic supplies by mail. Learn more about home delivery pharmacy services.
Words to know
We want to make sure you have the information you need.
Talk to your CCO
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