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Submitted URL: https://pacificsource.com/drug-list
Effective URL: https://pacificsource.com/find-a-drug
Submission: On October 09 via api from US — Scanned from DE
Effective URL: https://pacificsource.com/find-a-drug
Submission: On October 09 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
GET
<form id="swiftype-search-box" method="get" accept-charset="UTF-8">
<div class="form-item form-item-stq form-no-label form-group">
<label for="edit-stq" class="visually-hidden">Search</label>
<input class="st-default-search-input form-search form-control header-search" data-drupal-selector="edit-keys" type="search" id="edit-stq" name="stq" value="" size="15" maxlength="128" autocomplete="off" autocorrect="off" autocapitalize="off">
</div>
</form>GET /find-a-drug-ajax
<form class="ps-find-drug-ajax-search-form" data-drupal-selector="ps-find-drug-ajax-search-form" action="/find-a-drug-ajax" method="GET" id="ps-find-drug-ajax-search-form" accept-charset="UTF-8">
<div class="first-step row mb-3 mb-md-0 filters align-items-stretch justify-content-start js-form-wrapper form-wrapper" data-drupal-selector="edit-first-step" id="edit-first-step">
<div class="col-12 col-sm-6 col-md-4 col-lg-3 mb-4 mb-md-0 align-self-start js-form-item form-item js-form-type-select form-item-plan js-form-item-plan form-group">
<label for="edit-plan" class="js-form-required form-required">Plan year</label>
<select data-placeholder="Select a year" style="width:100%;" data-drupal-selector="edit-plan" id="edit-plan" name="plan" class="form-select required custom-select select2-hidden-accessible" required="required" aria-required="true"
data-once="drupal-ajax" data-select2-id="select2-data-edit-plan" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="select2-data-2-czmn">Select a year</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
</select><span class="select2 select2-container select2-container--ps-transparent-border-bottom" dir="ltr" data-select2-id="select2-data-1-28s1" style="width: 100%;"><span class="selection"><span
class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-edit-plan-container"><span class="select2-selection__rendered"
id="select2-edit-plan-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder">Select a year</span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="col-12 col-sm-6 col-md-4 col-lg-3 mb-4 mb-md-0 align-self-start js-form-item form-item js-form-type-select form-item-drug js-form-item-drug form-group form-disabled">
<label for="edit-drug" class="js-form-required form-required">Drug list</label>
<select data-placeholder="Select a drug list" style="width:100%;" data-drupal-selector="edit-drug" id="edit-drug" name="drug" class="form-select required custom-select select2-hidden-accessible" required="required" aria-required="true"
data-drupal-states="{"disabled":[{":input[name=\u0022plan\u0022]":{"value":""}}]}" data-once="drupal-ajax" disabled="" data-select2-id="select2-data-edit-drug" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="select2-data-4-jj4l">Select a drug list</option>
<option value="COMSBDL">Oregon (OR)</option>
<option value="COMSBDL-1">Montana (MT)</option>
<option value="COMSBDL-2">Idaho (ID)</option>
<option value="COMSBDL-3">Washington (WA)</option>
<option value="COMPDL">Preferred (PDL)</option>
</select><span class="select2 select2-container select2-container--ps-transparent-border-bottom select2-container--disabled" dir="ltr" data-select2-id="select2-data-3-b5l0" style="width: 100%;"><span class="selection"><span
class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="-1" aria-disabled="true" aria-labelledby="select2-edit-drug-container"><span class="select2-selection__rendered"
id="select2-edit-drug-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder">Select a drug list</span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="col-12 col-sm-6 col-md-4 col-lg-3 mb-2 align-self-start js-form-item form-item js-form-type-select form-item-ps-search-by js-form-item-ps-search-by form-group form-disabled">
<label for="edit-ps-search-by">Search by</label>
<select name="ps_search_by" data-placeholder="Search by" style="width:100%;" data-drupal-selector="edit-ps-search-by" id="edit-ps-search-by" class="form-select custom-select select2-hidden-accessible"
data-drupal-states="{"disabled":[{":input[name=\u0022drug\u0022]":{"value":""}},"or",{":input[name=\u0022plan\u0022]":{"value":""}}]}" data-once="drupal-ajax"
disabled="" data-select2-id="select2-data-edit-ps-search-by" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="select2-data-6-1yni">Please select search type</option>
<option value="name">Drug name</option>
<option value="class">Therapy class</option>
</select><span class="select2 select2-container select2-container--ps-transparent-border-bottom select2-container--disabled" dir="ltr" data-select2-id="select2-data-5-6tnq" style="width: 100%;"><span class="selection"><span
class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="-1" aria-disabled="true" aria-labelledby="select2-edit-ps-search-by-container"><span
class="select2-selection__rendered" id="select2-edit-ps-search-by-container" role="textbox" aria-readonly="true"><span class="select2-selection__placeholder">Search by</span></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="mt-3 mt-lg-4 js-form-wrapper form-wrapper" data-drupal-selector="edit-second-step" id="edit-second-step">
<div class="container row position-relative js-form-wrapper form-wrapper" data-drupal-selector="edit-wrapper" id="edit-wrapper"> <input class="use-ajax-submit button js-form-submit form-submit btn btn-primary" data-drupal-selector="edit-submit"
data-disable-refocus="true" type="submit" id="edit-submit" name="op" value="Search" data-drupal-states="{"invisible":[{":input[name=\u0022ps_search_by\u0022]":{"value":""}}]}"
data-once="drupal-ajax ajax" style="display: none;">
<div class="col-6 col-lg-2 pl-0"> <input class="btn btn-default clear-button col mr-0 button js-form-submit form-submit btn-primary" data-drupal-selector="edit-clear" data-disable-refocus="true" type="submit" id="edit-clear" name="op"
value="Clear" data-drupal-states="{"invisible":[{":input[name=\u0022drug\u0022]":{"value":""}},"or",{":input[name=\u0022plan\u0022]":{"value":""}}]}"
data-once="drupal-ajax" style="display: none;">
</div>
</div>
</div>
<span data-drupal-selector="edit-placeholder"></span>
<input autocomplete="off" data-drupal-selector="form-m-8g8hkswvezk6xsoh7yn80k7vkjl75yhkolb4cfs5u" type="hidden" name="form_build_id" value="form-M-8G8hKSwvEZK6xsOh7yn80K7VKjL75yhkOLB4Cfs5U" class="form-control">
<input data-drupal-selector="edit-ps-find-drug-ajax-search-form" type="hidden" name="form_id" value="ps_find_drug_ajax_search_form" class="form-control">
<div class="url-textfield js-form-wrapper form-wrapper" style="display: none !important;">
<div class="js-form-item form-item js-form-type-textfield form-item-url js-form-item-url form-group">
<label for="edit-url">Leave this field blank</label>
<input autocomplete="off" data-drupal-selector="edit-url" type="text" id="edit-url" name="url" value="" size="20" maxlength="128" class="form-control">
</div>
</div>
</form>Text Content
Search:
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* Individuals & Families Overview
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* Employers Overview
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* MembersOpen submenu
* Medicare(link is external)
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* Members Overview
* New Members
* Print ID Card(link is external)
* Plan Information
* Getting CareOpen submenu
* Healthy ResourcesOpen submenu
* Behavioral Health Services
* Prescription Drug InformationOpen submenu
* Vision
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* About InTouch for Members
* Make a Payment
No results found.
Close submenuGetting CareMenu/Members/Members/Getting Care
* Getting Care Overview
* Find a Doctor
* Your Member ID
* Telehealth
* Urgent and Emergency Care
* Explanation of Benefits
* Prior authorization
No results found.
Close submenuHealthy ResourcesMenu/Members/Members/Healthy Resources
* Healthy Resources Overview
* Fitness Center Discount
* CaféWell
* Weight Management
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* Tobacco Cessation Program
* Prenatal Program
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Close submenuPrescription Drug InformationMenu/Members/Members/Prescription Drug
Information
* Prescription Drug Information Overview
* Find a Drug
* Find a Pharmacy
* Drug Resources
* Lists and Criteria
* Drug Costs
No results found.
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* Employers Overview
* Employer InTouch(link is external)
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* Flu Clinic
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* Wellness Resources
* Wellness Toolkits
* Wellness Consulting
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Close submenuProducersMenu/Producers
* Producers Overview
* Plan Details
* InTouch for Producers(link is external)
* Get Quotes and Materials
* Get Appointed
* Documents and Forms
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Close submenuProvidersMenu/Providers
* MedicalOpen submenu
* DentalOpen submenu
* Provider Service Representatives
* HIPAA Electronic Transactions
* Partner With Us
* About InTouch for Providers
* Provider Resource Center
* Prescription Drug Information
* Community Health Excellence Program
No results found.
Close submenuMedicalMenu/Providers/Medical
* Medical Overview
* Claims Guidelines
* Prior Authorization
* Clinical Policies & Practice Guidelines
* Medicare(link is external)
* Medicaid(link is external)
No results found.
Close submenuDentalMenu/Providers/Dental
* Dental Overview
* Claims Guidelines
* Prior authorization
* Medicaid(link is external)
No results found.
Close submenuResourcesMenu/Resources
* Resources Overview
* Learning CenterOpen submenu
* Documents and Forms
* myPacificSource Mobile App
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Close submenuLearning CenterMenu/Resources/Learning Center
* Learning Center Overview
* Health Library(link is external)
* Glossary
* News and Articles
* Video Library
* FAQ
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Skip to main content
* * Find a:
* Doctor
* Drug
* Search
Search
* Shop Plans
* Individuals & Families
* Employers
* Dental
* Medicare(link is external)
* Medicaid(link is external)
* PacificSource Administrators(link is external)
* Individuals & Families Overview
* View Plans(link is external)
* Employers Overview
* View Plans
* Administrative Services
* Small Group
* Large Group
* Self-Funded
INDIVIDUALS & FAMILIES
INDIVIDUALS & FAMILIES OVERVIEW
VIEW PLANS
View Individual & Family Plans
EMPLOYERS
EMPLOYERS OVERVIEW
VIEW PLANS
View Employer Plans
ADMINISTRATIVE SERVICES
SMALL GROUP
LARGE GROUP
SELF-FUNDED
DENTAL
Employers > Dental
MEDICARE
MEDICAID
PACIFICSOURCE ADMINISTRATORS
PacificSource Administrators
* Members
* Members
* Medicare(link is external)
* Medicaid(link is external)
* PacificSource Administrators(link is external)
* Members Overview
* New Members
* Print ID Card(link is external)
* Plan Information
* Getting Care
* Healthy Resources
* Behavioral Health Services
* Prescription Drug Information
* Vision
* Dental
* About InTouch for Members
* Make a Payment
* Getting Care Overview
* Find a Doctor
* Your Member ID
* Telehealth
* Urgent and Emergency Care
* Explanation of Benefits
* Prior authorization
* Healthy Resources Overview
* Fitness Center Discount
* CaféWell
* Weight Management
* Condition Support Program
* Tobacco Cessation Program
* Prenatal Program
* Flu Prevention
* Health Ed Reimbursement
* Global Emergency Services
* Rare Disease Program
* Prescription Drug Information Overview
* Find a Drug
* Find a Pharmacy
* Drug Resources
* Lists and Criteria
* Drug Costs
MEMBERS
Members > Members
MEMBERS OVERVIEW
NEW MEMBERS
PRINT ID CARD
Print ID Card
PLAN INFORMATION
Members > Plan Information
GETTING CARE
GETTING CARE OVERVIEW
FIND A DOCTOR
YOUR MEMBER ID
TELEHEALTH
URGENT AND EMERGENCY CARE
EXPLANATION OF BENEFITS
PRIOR AUTHORIZATION
HEALTHY RESOURCES
HEALTHY RESOURCES OVERVIEW
FITNESS CENTER DISCOUNT
CAFÉWELL
CaféWell
WEIGHT MANAGEMENT
CONDITION SUPPORT PROGRAM
TOBACCO CESSATION PROGRAM
PRENATAL PROGRAM
FLU PREVENTION
HEALTH ED REIMBURSEMENT
GLOBAL EMERGENCY SERVICES
RARE DISEASE PROGRAM
BEHAVIORAL HEALTH SERVICES
PRESCRIPTION DRUG INFORMATION
Members > Individuals > Pharmacy Information
PRESCRIPTION DRUG INFORMATION OVERVIEW
FIND A DRUG
FIND A PHARMACY
DRUG RESOURCES
LISTS AND CRITERIA
DRUG COSTS
VISION
Members > Vision
DENTAL
Members > Individuals > Dental
ABOUT INTOUCH FOR MEMBERS
MAKE A PAYMENT
MEDICARE
Members > Medicare
MEDICAID
Members > Medicaid
PACIFICSOURCE ADMINISTRATORS
PacificSource Administrators
* Employers
* Employers Overview
* Employer InTouch(link is external)
* Wellness
* Flu Clinic
* Documents and Forms
* Wellness Resources
* Wellness Toolkits
* Wellness Consulting
EMPLOYERS OVERVIEW
Employers > Employers Overview
EMPLOYER INTOUCH
Members > Employers > Employer InTouch
WELLNESS
WELLNESS RESOURCES
WELLNESS TOOLKITS
WELLNESS CONSULTING
FLU CLINIC
Members > Employers > Flu Clinic
DOCUMENTS AND FORMS
Members > Employers > Documents & Forms
* Producers
* Producers Overview
* Plan Details
* InTouch for Producers(link is external)
* Get Quotes and Materials
* Get Appointed
* Documents and Forms
PRODUCERS OVERVIEW
PLAN DETAILS
INTOUCH FOR PRODUCERS
GET QUOTES AND MATERIALS
GET APPOINTED
DOCUMENTS AND FORMS
* Providers
* Medical
* Dental
* Provider Service Representatives
* HIPAA Electronic Transactions
* Partner With Us
* About InTouch for Providers
* Provider Resource Center
* Prescription Drug Information
* Community Health Excellence Program
* Medical Overview
* Claims Guidelines
* Prior Authorization
* Clinical Policies & Practice Guidelines
* Medicare(link is external)
* Medicaid(link is external)
* Dental Overview
* Claims Guidelines
* Prior authorization
* Medicaid(link is external)
MEDICAL
MEDICAL OVERVIEW
CLAIMS GUIDELINES
PRIOR AUTHORIZATION
CLINICAL POLICIES & PRACTICE GUIDELINES
MEDICARE
MEDICAID
DENTAL
DENTAL OVERVIEW
CLAIMS GUIDELINES
PRIOR AUTHORIZATION
MEDICAID
PROVIDER SERVICE REPRESENTATIVES
HIPAA ELECTRONIC TRANSACTIONS
PARTNER WITH US
ABOUT INTOUCH FOR PROVIDERS
PROVIDER RESOURCE CENTER
PRESCRIPTION DRUG INFORMATION
COMMUNITY HEALTH EXCELLENCE PROGRAM
Community Health Excellence Grants
* Resources
* Resources Overview
* Learning Center
* Documents and Forms
* myPacificSource Mobile App
* Learning Center Overview
* Health Library(link is external)
* Glossary
* News and Articles
* Video Library
* FAQ
RESOURCES OVERVIEW
LEARNING CENTER
LEARNING CENTER OVERVIEW
HEALTH LIBRARY
GLOSSARY
NEWS AND ARTICLES
VIDEO LIBRARY
Video Library
FAQ
DOCUMENTS AND FORMS
Documents and Forms
MYPACIFICSOURCE MOBILE APP
* * Careers
* Contact Us
* Log in(link is external)
FIND A DRUG
First, select your “Drug list.” Then refine by “Drug name” or “Therapy class.”
To view drugs that may be used to treat the same condition, type in the drug
name and click "Search."
Members looking for drug prices on their plan can explore drug costs.
Plan year Select a year20222023Select a year
Drug list Select a drug listOregon (OR)Montana (MT)Idaho (ID)Washington
(WA)Preferred (PDL)Select a drug list
Search by Please select search typeDrug nameTherapy classSearch by
Leave this field blank
DOWNLOAD 2023 DRUG LISTS
Idaho (ID) Montana (MT) Oregon (OR) Washington (WA) Preferred (PDL)
DOWNLOAD 2022 DRUG LISTS
Idaho (ID) Montana (MT) Oregon (OR) Washington (WA) Preferred (PDL)
WHICH DRUG LIST?
PacificSource members can find their plan’s drug list on their member ID.
No drug list on your member ID? Choose “Preferred (PDL)”.
If you're not a current member (but are shopping for coverage) choose the state
drug list for the state in which you reside: Idaho, Montana, Oregon, or
Washington. If you’re shopping for group coverage, choose the state where your
organization is headquartered.
CAN’T FIND THE PRESCRIPTION DRUG YOU ARE SEARCHING FOR?
You and your doctor have the right to request an exception to the plan's
formulary or coverage by contacting customer service. Or, your doctor can submit
an exception request through InTouch or fax using the Preauthorization
Medication Exception request form.
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 cs@pacificsource.com.
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