Explore our drug lists to see covered medications and coverage requirements.
- View a complete list of formulary medications.
- Medications requiring authorization
- Summary of changes
- Pharmacy prior authorization form
- Pharmacy claims form
- Notice of hearing rights
- Pharmacy appeal form
- Pharmacy complaint form
Our members have access to the MedImpact pharmacy network.
Northwest Prescription Drug Program (OPDP)
If you need a medication not covered under your pharmacy plan, this discount card can help you save money on your prescription. It’s free and sign up is easy.
Contact the Moda Health Pharmacy Customer Service team at 888-474-8539.