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.
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.
We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies related to estrogen and testosterone agents for patients under the age of 18.
We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after December 15, 2019.
Please review the summary of these changes below:
The use of cross-sex hormones for members under the age of 18 years old will require prior authorization. In line with Oregon Health Authority (OHA) guidelines for the treatment of gender dysphoria in adolescent patients, approval will require patients have met appropriate eligibility and readiness criteria. These changes will take effect December 15, 2019.
Prior authorization for estrogen and testosterone products for members under the age of 18.
December 15, 2019
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.