Our network gives you choices for when and how you order prescription drugs. We contract with hundreds of pharmacies in Oregon and pharmacies throughout the U.S. Our network includes retail pharmacies, home infusion, long-term care, Indian health service pharmacies, and specialty and mail-order pharmacies. And, for your convenience, you can fill up to a 93-day supply of maintenance medications at your local retail pharmacy.
We cover prescriptions from in-network pharmacies. Unless you are in one of the circumstances we list below, we cannot cover prescriptions from out-of-network pharmacies. Circumstances for out-of-network prescription coverage:
In these circumstances, we can fill up to a 31-day supply. If you are in one of these circumstances, please call us before you fill your prescription. We can see if there is a network pharmacy in your area.
If you do go to an out-of-network pharmacy, you may have to pay the full cost of the drug instead of just your copayment or coinsurance. You also may pay more for your prescription. You can ask us to reimburse you for this prescription by submitting a claim.
Please call our Summit Health Customer Service team at 844-827-2355 (TTY users, please call 711). Customer Service is available to help you from 7 a.m. to 8 p.m., Pacific Time, seven days a week from Oct. 1 to March 31. After March 31, your call will be handled by our automated phone system on weekends and holidays. Weekend calls are forwarded to voicemail and returned the next day.
Last updated Dec. 17, 2020