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View & Search Plan Formularies

Samaritan Health Plans maintains a committee composed of physicians and pharmacists whose purpose is to review scientific evidence and decide which medications should be added or deleted from our formularies. See below for our plans’ formularies.

Samaritan Choice Plans

2021 Samaritan Choice Formulary

Samaritan Employer Group Plans

2021 Formulary - Performance and Oregon Standard Plans

2021 Formulary - Everyday Choices Plans

InterCommunity Health Plans for InterCommunity Health Network CCO

2021 IHN-CCO Formulary

Medicare Plans - Samaritan Advantage Health Plan HMO

2021 Formulary - Premier and Premier Plan Plus

2021 Formulary - Special Needs Plan

Request RX Prior Authorization

Select medications may require prior authorization. A physician may request authorization.