Provider Notices

Coverage Updates Effective May 1, 2014

4/1/2014 9:25:30 AM
We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies effective May 1, 2014.

We have recently updated our prior authorization list and coverage policies for our 2014 Medicaid plans. These changes are effective for dates of service on or after May 1, 2014.
Click here to view the list of changes.
In addition to the above changes, we have updated the formulary to include a number of new medications that have been released in the last year. For a complete formulary listing, please visit our website at
If you have questions regarding these changes, please contact your PacificSource Provider Service Representative or the PacificSource Pharmacy Services Department at (888) 437- 7728 or (541) 330-4999.