Skip to Main Content

View and 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

2019 Samaritan Choice Formulary

Samaritan Employer Group Plans

2019 Formulary - Performance and Oregon Standard Plans

2019 Formulary - Everyday Choices Plans

InterCommunity Health Plans for InterCommunity Health Network CCO

2019 IHN-CCO Formulary

Medicare Plans - Samaritan Advantage Health Plan HMO

2019 Formulary - Premier and Premier Plan Plus

2019 Formulary - Special Needs Plan

Request Rx Prior Authorization

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