Provider Notices

Please Note: Prior to submitting our Provider Relief Emergency Temporary Practitioner Application, please verify if they are already contracted and a participating provider.

To confirm that your provider is considered participating, we have three convenient options for you to choose from.

  • Give us a call
    Oregon: (541) 684-5582 or (888) 977-9299
    Idaho: (208) 333-1596 or (800) 688-5008
    Montana: (406) 442-6589 or (877) 590-1596
  • Email us: cs@pacificsource.com
  • Go online

    You can find our online provider directory at PacificSource.com. Select the Find a Provider link from our top menu bar. On the right hand side of your screen, find the Quick Links menu and click on PacificSource Provider Directory.

    If you have any questions, please feel free to contact us at the numbers listed above.

Pharmacy Coverage Updates Effective October 1, 2019

8/30/2019 4:56:26 PM

We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies related to opiate agents.

We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after October 1, 2019.

Please review the summary of these changes below:

The Center for Medicaid and Medicare Services (CMS) and Oregon Health Authority (OHA) are making changes to the coverage of opioids. CMS has identified that prescriptions for acute event treatments are often excessive and can lead to misuse. To combat this risk, CMS and OHA are requiring health plans to implement certain limits on new prescriptions for opioids. These changes will take effect October 1, 2019.

   Change

   Effective Date

  7-day supply limit for patients who are new starts to opioid therapy

   October 1, 2019

 

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 CommunitySolutions.PacificSource.com/Tools/DrugSearch.

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.

 

Sincerely,

Provider Network


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