Drug List (Formulary)
The Drug List (or Formulary) provides a directory of all the preferred medications currently approved for Yamhill Community Care members. This Formulary is administered and provided by Providence Plan Partners.
Formulary Changes Effective 02.01.2025
You can search for a drug in one of the following ways:
- Find the drug listed in the Formulary/PDF index; or
- In the PDF file, enter the drug name into the search box located in the menu; or
- Call Customer Service for assistance in finding a drug
- Pharmacy Help Desk 503-574-7400
If you want us to send you a printed copy of this formulary, please contact Customer Service 1-855-722-8205. There is no charge for this service and you will receive it within five business days.
Filling a prescription
To fill a prescription, you can go to any pharmacy in YCCO’s network. You can find a list of pharmacies we work with in our Provider Directory.
For all prescriptions covered by YCCO, bring to the pharmacy:
- The prescription.
- Your YCCO ID card, Oregon Health ID card or other proof of coverage such as a Medicare Part D ID card or Private Insurance card. You may not be able to fill a prescription without them.
Covered prescriptions
YCCO list of covered medications is at: https://yamhillcco.org/members/pharmacy-drug-list/.
- If you are not sure if your medication is on our list, call us. We will check for you.
If your medication is not on the list, tell your provider. Your provider can ask us to cover it.
- YCCO needs to approve some medication on the list before your pharmacy can fill them. For these medications, your provider will ask us to approve it.
YCCO also covers some over the counter (OTC) medications when your provider or pharmacy prescribes them for you. OTC medications are those you would normally buy at a store or pharmacy without a prescription, such as aspirin.
Asking YCCO to cover prescriptions
When your provider asks YCCO to approve or cover a prescription:
- Doctors and pharmacists at YCCO will review the request from your provider.
- We will make a decision within 24 hours.
- If we need more information to make a decision, it can take 72 hours.
If YCCO decides to not cover the prescription, you will get a letter from YCCO. The letter will explain:
- Your right to appeal the decision.
- How to ask for an appeal if you disagree with our decision. The letter will also have a form you can use to ask for an appeal.
Call YCCO Pharmacy Customer Service at 877-216-3644 TTY 711 if you have questions.
Mail-order pharmacy
Costco Pharmacy Home Delivery or Postal Prescription Service can mail some medications to your home address. This is called mail-order pharmacy. If picking up your prescription at a pharmacy is hard for you, mail-order pharmacy may be a good option. Call YCCO Pharmacy Customer Service at 877-216-3644 TTY 711 to
- Learn more about mail-order pharmacy and
- Get set up with mail-order pharmacy.
OHP pays for behavioral health medications
YCCO does not pay for most medications used to treat behavioral health conditions. Instead OHP pays for them. If you need behavioral health medications:
- YCCO and your provider will help you get the medications you need.
- The pharmacy sends your prescription bill directly to OHP. YCCO and your provider will help you get the behavioral health medications you need. Talk to your provider if you have questions. You can also call YCCO Customer Service at 855-722-8205 TTY 711.
Prescription coverage for members with Medicare
YCCO and OHP do not cover medications that Medicare Part D covers.
If you qualify for Medicare Part D but choose not to enroll, you will have to pay for these medications.
If you have Part D, show your Medicare ID card and your YCCO ID card at the pharmacy.
If Medicare Part D does not cover your medication, your pharmacy can bill YCCO. If OHP covers the medication, YCCO will pay for it.
Learn more about Medicare benefits in your member handbook.
Getting prescriptions before a trip
If you plan to travel out of state, make sure you have enough medication for your trip. To do this, ask to get a prescription refill early. This is called a vacation override. Please call YCCO at 855-722-8205 TTY 711 to find out if this is a good option for you.
Other Prescription Drug Resources
Learn about safe prescription drug use, storage, and disposal here: http://www.takemedsseriouslyoregon.org/
Check this website to find the address of the drug take-back and disposal site nearest you: http://www.oracwa.org/documents/Unwanteddrugdropoffsites.pdf
Providence Plan Partners is your one-stop pharmacy benefits resource.
- Search for network pharmacies
- View your prescription history
- Look up a prior authorization status, and more!
Create an account and get the information you need to best manage your health.
