PacificSource Drug Lists
The PacificSource drug lists are guides to help your doctor identify medications that can provide the best clinical results at the lowest cost. As a cost savings for you, generic drugs are included in place of name brand drugs wherever possible. Please note that drugs not listed on the drug list are not covered. Drug lists are subject to change as new drugs enter the market. See Drug News for recent changes.
Which drug list do I choose?
Learn more about our drug lists >
- If you're a current PacificSource member, check your ID card (see example) to see which drug list you should choose. If no drug list is noted, please choose the PDL.
- If you're shopping for individual coverage (not a current member), choose the state drug list for the state in which you reside (ID, MT, OR).
- If you're shopping for group coverage, choose the state drug list for the state where the employer is headquartered (ID, MT, OR).
Pick a drug list
Please note: Some plans only provide coverage for certain drugs on this list.
A separate benefit may apply to some drugs, such as specialty drugs
. If you have questions about your coverage, please contact our Customer Service Department at (888) 977-9299 or by email at email@example.com
If your drug is not included in this drug search, you should first contact customer service
and confirm that your drug is not covered.
You and your doctor have the right to request an exception to the plan’s formulary or coverage criteria.
If you would like to request an exception, please have your doctor submit documentation through InTouch, fax, or phone using the Preauthorization/Medication Exception Request