Health Benefits Solution, Inc
Health Benefits Solution, Inc
Referrals are the Life Blood of our company -  503-922-2903  877-786-8347

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Cascade Mountains
CITIES:  Brightwood, Camp Sherman, Cascade Locks, Cascadia, Chemult, Chiloquin, Crescent, Crescent Lake, Detroit, Diamond Lake, Drew, Estacada, Fort Klamath, Gates, Gilchrist, Government Camp, Idanha, Klamath Agency, La Pine, Lakeview, McKenzie Bridge, Mill City, North Umpqua, Oakridge, Prospect, Rhododendron, Sandy, Sisters, Sunriver, Warm Springs, Welches, Westfir, Zigzag
AREAS:  Crater Lake National Park, Deshutes National Forest, Fremont National Forest, Mount Hood National Forest, Rogue River National Forest, The Three Sisters, Umpqua National Forest, Willamette National Forest, Winema National Forest

Central Oregon
CITIES:  Antelope, Arlington, Bend, Brothers, Condon, Culver, Dufur, Fossil, Grass Valley, Hampton, Lonerock, Madras, Maupin, Metolius, Mitchell, Moro, Mosier, Paulina, Post, Prineville, Redmond, Rowena, Rufus, Shaniko, Spray, The Dalles, Wasco

Northeast Oregon
CITIES:  Adams, Arlington, Athena, Baker City, Boardman, Canyon City, Condon, Cove, Dayville, Echo, Elgin, Enterprise, Fossil, Greenhorn, Haines, Halfway, Heppner, Hermiston, Huntington, Imbler, Imnaha, Irrigon, Island City, John Day, Joseph, La Grande, Lexington, Long Creek, Lostine, Medical Springs, Milton-Freewater, Monument, Mt Vernon, North Powder, Oxbow, Pendleton, Pilot Rock, Prairie City, Richland, Seneca, Summerville, Sumpter, Ukiah, Umatilla, Union, Unity, Wallowa, Weston
AREAS Hell's Canyon

Oregon Coast
North Coast
Astoria, Bay City, Beaver, Cannon Beach, Garibaldi, Gearhart, Hebo, Nehalem, Manzanita, Neahkahnie, Oceanside, Pacific City, Rockaway Beach, Seaside, Tillamook, Warrenton, Wheeler
Central Coast
Depoe Bay, Dunes City, Florence, Gleneden Beach, Lincoln City, Mapleton, Newport, Otter Rock, Reedsport, Seal Rock, Siletz, Toledo, Waldport, Winchester Bay, Yachats
South Coast

Agness, Bandon, Brookings, Charleston, Coos Bay, Coquille, Gold Beach,
Lakeside, Myrtle Point, North Bend, Port Orford, Powers, Wedderburn

Portland and Vicinity
Banks, Barlow, Beaverton, Camas, Canby, Clackamas, Clatskanie, Columbia City, Cornelius, Forest Grove, Gaston, Gresham, Happy Valley, Hillsboro, Lake Oswego, Marquam, Milwaukie, Molalla, North Plains, Oregon City, Portland, Rainier, Sandy, Scappoose, St. Helens, Tigard, Troutdale, Tualatin, Vernonia, West Linn, Wilsonville

Southeast Oregon
Adel, Adrian, Burns, Diamond, Drewsey, Frenchglen, Hines, Jordan Valley, Juntura, Lakeview, Nyssa, Ontario, Plush, Vale

Southern Oregon
CITIES Ashland, Butte Falls, Cave Junction, Canyonville, Central Point, Dillard, Drain, Eagle Point, Elkton, Glendale, Glide, Gold Hill, Grants Pass, Jacksonville, Klamath Falls, Malin, Medford, Merlin, Myrtle Creek, Oakland, Phoenix, Prospect, Riddle, Rouge River, Roseburg, Shady Cove, Sutherlin, Talent, Umpqua, White City, Winchester, Winston, Wolf Creek, Yoncalla
AREAS:  Applegate Valley, Illinois Valley


Willamette Valley
Albany, Alsea, Amity, Aumsville, Aurora, Brooks, Brownsville, Canby, Canyonville, Carlton, Corvallis, Coburg, Cottage Grove, Creswell, Culp Creek, Dallas, Dayton, Detroit, Donald, Dundee, Eugene, Falls City, Gates, Gervais, Halsey, Harrisburg, Independence, Jefferson, Junction City, Keizer, Lebanon, Lowell, Lyons, McMinnville, Mill City, Millersburg, Mt.Angel, Molalla, Monmouth, Newberg, Oakridge, Oregon City, Philomath, Salem, Scio, Scott Mills, Sheridan, Silverton, Sodaville, Springfield, Stayton, St. Paul, Sublimity, Sweet Home, Tangerit, Turner, Veneta, Walterville, Waterloo, Willamina, Woodburn, Yamhill

 

 

 

opdp, oregon prescription drug program


FREE Enrollment!

ALL Oregonians can now join!

Save up to 60% on prescriptions! Highest discount is on generics!

There is no paperwork required and no age or income limit!

Only takes a minute to enroll....
 

CLICK HERE  to look up the cost of prescriptions in this program. 
 
All pharmacies in our network will give you the lowest price.  If they have a drug that is on special for a lower price than what is shown here, they must give you that price.

If you have any problems or questions, call 1-800-913-4284 for assistance.

To enroll online in ENGLISH click here.

  
To enroll online in SPANISH click here.

To enroll by phone, call toll-free 1-800-913-4146


Take your OPDP card to any of the participating pharmacies listed below to receive a discount on your prescription:
 
 
Ainsworth Portland
Albertsons NATIONWIDE
Apex  Portland
Assured Pharmacy Portland
Astoria Astoria
Baker City Pillbox Baker City
Balins Tower Drug Klamath Falls
Banks Pharmacy Banks
Beaverton Pharmacy Beaverton
Bend Pillbox Bend
BHS Pharmacy Eugene
Bi-Mart NATIONWIDE
Black Oak Health Mart Medford
Bowmans Hillsdale Portland
Brooklyn Portland
Campus Drug Klamath Falls
Carlson's Drug Umatilla
Cascade White City
Cave's Pharmacy Cave Junction
Center Pharmacy Newberg
Central Drug Portland
Chetco Pharmacy Brookings
CHS Pharmacy Vancouver
Clinic Pharmacy Prineville
Cloverdale Pharmacy Cloverdale
Consonus Milwaukie
Corner Drug Gold Beach
Corvallis Clinic Corvallis
Cutter's Hi-School Molalla
CVS (Pro-Care) Portland
Dallas Pillbox Dallas
Danielson Pharmacy Oregon City
Dave's Prescription Shop Canby
Downtown Pharmacy Medford
Drug Mart Pharmacy La Pine
Economy Drugs Sweet Home
Elm Street Pharmacy Albany
Everett's Villa Pharmacy Eugene
Fairley's Pharmacy Portland
Fred Meyer NATIONWIDE
Gateway Medical Portland
Geary St. Clinic Pharmacy Albany
Genoa Healthcare Eugene
Good Shepherd Clinic Hermiston
Gordon's  Canyonville
Grants Pass Grants Pass
Grove's Pharmacy Sweet Home
Haggen, Inc. Beaverton
Haggen, Inc. Beaverton
Haggen, Inc. Oregon City
Haggen, Inc. Tualatin
Hank's Pharmcy Hillsboro
Han's Pharmacy Prineville
Harvard Roseburg
Hiron's #2 Eugene
Hiron's Drug Eugene
Hi-School Pharmacy Clatskanie
Hi-School Pharmacy Estacada
Hi-School Pharmacy Hood River
Hi-School Pharmacy Independence
Hi-School Pharmacy Sandy
Hi-School Pharmacy Scappoose
Hi-School Pharmacy St. Helens
Hi-School Pharmacy West Linn
Holladay Drug Seaside
Hometown Drug Redmond
Hometown Drugs Roseburg
Howards Drugs Lakeview
Jacksonville Pharmacy Jacksonville
Jennings-McCall Forest Grove
Kmart NATIONWIDE
Lake Shore Pharmacy Lake Oswego
Lamb's Garden Home Portland
Lebanon Pillbox Lebanon
MAC Prescription Shop McMinnville
Managed Healthcare Eugene
McCanns Tigard
McCoy's Pharmacy Cottage Grove
McLains Grants Pass
Medicap Albany
Medicap Talent
Medicap Pharmacy Parma, Idaho
Mill City Pharmacy Mill City
Mt. Angel Drug Mt. Angel
Mult Co. Clinic Pharmacy East County
Mult Co. Clinic Pharmacy Mid County
Mult Co. Clinic Pharmacy N. Portland
Mult Co. Clinic Pharmacy Northeast
Mult Co. Clinic Pharmacy West side
New Seasons Portland
OHSU -Outpatient Portland
OHSU - Gabriel Park Portland
OHSU - CHH Retail Portland
Olson Oregon City
OSU Pharmacy Portland
Paramount Drug Astoria
Paulsen's  Portland
Payless LTC Pharmacy Portland
Pharmacy Express Albany
Pharmacy Express Bend
Pharmacy Express Brookings
Pharmacy Express Cave Junction
Pharmacy Express Central Point
Pharmacy Express Creswell
Pharmacy Express Eagle Point
Pharmacy Express Eugene
Pharmacy Express Myrtle Creek
Pharmacy Express Pleasant Hill
Pharmacy Express Redmond
Pharmacy Express Roseburg
Pharmacy Express Sutherlin
Pillbox Health Center Lebanon
PMC Portland
Postal Oakridge
Providence Home Infusion Portland
Providence Hospital Pharm. Milwaukie
Providence Plaza Pharmacy Portland
Quisenberry Pharmacy Salem
QFC NATIONWIDE
Red Cross LaGrande
Red Cross United LaGrande
Rice's Pharmacy Corvallis
Rite-aid NATIONWIDE
Rogue River Pharmacy Rogue River
Safeway NATIONWIDE
Samaritan Pharmacy Corvallis
Semlings Pharmacy St. Helens
Sempert's Drug Myrtle Point
Senior Pharmacy Eugene
Service Drug Store Grants Pass
Shady Cove Health Mart Shady Cove
Sheridan Pharmacy Sheridan
ShopKo Bend
ShopKo Eugene
ShopKo Eugene
ShopKo Eugene
ShopKo (Kenewick) Kenewick
ShopKo (Walla Walla) Walla Walla
Silverton Hi-School Silverton
Silverton Pillbox Silverton
Sisters Drug Sisters
St. Elizabeth Health Svs Baker City
Strohecker Pharmacy Portland
Sutherlin Drug Sutherlin
Synergy RX Eugene
Target NATIONWIDE
The Medicine Shoppe Forest Grove
The Medicine Shoppe Medford
The Medicine Shoppe Redmond
Thrifty Hometown Drug Madras
Tiffany's Drug Bandon
Tiffany's Drug Eugene
Tiffany's Drug Florence
Tiffany's Drug Veneta
Tillamook Pharmacy Tillamook
Tran Portland
Union Drug Co. Union
Wal-Mart NATIONWIDE
WELLPARTNER MAIL ORDER
Wheeler Pharmacy Wheeler
Willamina Drugs Willamina
Williams Fairway Woodburn
Yakima Valley Washington
 

 

OPDP is a State Prescription Drug Purchasing Pool.
 
OPDP offers a discount card.
 
All Oregonians may join.  
 
There is no cost to enroll.   
 
Average savings are 42%.
 
All drugs prescribed by a licensed clinican are eligible for discounts.
 
Receive an ID card within a week.
 
Take the ID card to a member pharmacy with your Rx to receive the discount.


Frequently Asked Questions (FAQ)
For Eligible Individuals
(Does not apply to Groups)
6/19/07 Revision
(For questions re: Medicare Part D, see page 4)

Eligibility:

To Qualify for this program you must:
 Be an Oregon resident with no prescription drug coverage other than Medicare Part D, if applicable
OR you must be an Oregon resident who considers yourself underinsured for prescription drug coverage.
Notes:
 Each person may enroll online at www.opdp.org, or by calling The ODS Companies directly at 1-800-913-4146.
 A parent may enroll a child using one of these options.
 A guardian/personal representative/attorney-in-fact may enroll a person in their charge in the same ways.

Braille or large print
• Call 1-800-913-4146 for an alternate format.

Am I an Oregon resident?
You are an Oregon resident if you reside in Oregon

What is meant by “underinsured”?

With the passage of SB 362 the underinsured are now able to enroll in the OPDP. If an Oregonian considers themselves underinsured for Rx coverage they may enroll and use their OPDP cards to receive a discount on prescriptions they are purchasing. If a member has Rx insurance they should verify with their carrier that those Rx purchases made using the OPDP discount card will be accumulated toward their out of pocket expense.

Although the OPDP discounts are market competitive, if a member has an insured benefit they may also have a competitive discount that could offer an equal or better rate on their specific prescription. Members should be wise shoppers and see which card brings the best price for their prescriptions.

This program is for people without health insurance or those who have insurance but could use help paying for prescription drugs in specific situations. Some situations could include the following:
• They are on Medicare and fall into the “gap” where they pay 100 percent of drug costs. (Many Medicare prescription drug plans have a “gap’ in coverage after drug costs reach a certain point and before catastrophic coverage begins and the plan pays the bulk of costs.)
• They need a prescription drug their insurance plan formulary doesn’t cover. Note that they could not use this cost to accumulate toward their out of pocket expense for their Plan’s deductible since the Rx wasn’t covered.
• They have a deductible and use the drug discount program to reduce their out of pocket costs. Note, their carrier may have a discount for out of pocket expenses too. They may only use one card not both.
• They are waiting to have a pre-existing condition covered by their insurance plan.
• They are a new employee lacking insurance and are waiting to become eligible for the employer plan.
• Their medical coverage does not offer Rx benefits.

All prescription drugs prescribed by a licensed Oregon clinician are eligible for a discount through this program.


When do I become a member of OPDP

When does coverage start?
Coverage starts as soon as you receive your I.D. Card.

How long should it take to receive an I.D. card?
You should receive an I.D. card within one week.


Pharmacy Network

What pharmacy will I go to?
A brochure with the list of pharmacies is included with the I.D. card. The pharmacies are also listed on our website: www.opdp.org or call customer service at 800-913-4284. New pharmacies can join at any time, so view the website for the most current list of pharmacies. You can also ask the pharmacy that you usually do business with if they are part of the OPDP. You can advise them to go to our website if they wish to join our network.

Prescription Coverage and Cost

Are all my prescriptions covered?
All prescriptions prescribed by a licensed Oregon clinician are eligible for a discount. This program does not give discounts for over-the-counter drugs, which are drugs you can purchase without a prescription.

Will this program cost me anything to join?
There is no membership fee for enrolling in this program. Should a nominal fee ever become necessary you will have no obligation to remain in the program.

How do I find out if I could get a cheaper drug?
Ask your physician or pharmacist if there is a generic or equivalent drug that may be cheaper than the drug you are prescribed? Or, if you are a member you can go to www.odscompanies.com and register. Once registered, click on “Pharmacy” in the top blue bar. Next, click on “Formulary Look Up” tab under Resources. This will take you to the site to look up drug costs, and will show you if a generic is available for a brand name drug. If you have trouble using this site, please call 1-800-913-4284.

How much of a discount will I receive?
Discounts will vary depending on whether a drug is generic or brand. The greatest discounts are on generics and they can be as high as 60%! The average discount is probably about 30%

What is a brand Rx or a generic Rx?
Brand drugs are still on patent so they are only manufactured by one company. Because there is no competition, these are the most expensive drugs.

Generic drugs are made when a drug comes off of patent. Several manufacturers can now make the drug so competition drives the cost down. The FDA finds generics as safe as brand name drugs. Also, evidence-based research has shown that higher cost brand drugs are NO MORE effective than lower cost alternatives.

The pharmacy I went to charged me more for an Rx than the pharmacy that I went to last month.

In the instance described in the Question above here is what could have happened:

First Pharmacy Second Pharmacy
Rx is sold for $4 Rx is sold for $10
OPDP negotiated discount price = $5 OPDP discounted price = $5
You pay $4 under OPDP contract You pay $5 under OPDP contract

On a given day, the OPDP discounted price will be the same from pharmacy to pharmacy. However the OPDP rate is based on a discount off of the Average Wholesale Price and that can change day to day. If a pharmacy has a special program that offers the drug for less than OPDP’s price the pharmacy must sell it to you for the lower amount according to their contract with OPDP.

Keep in mind that drug prices frequently change. Also remember that pharmacy promotions are generally on certain drugs but not all drugs. Just like when you’re shopping for groceries you will see some products on sale but not all of them. Your OPDP discount card will bring you a discount on all Rx. The best discounts are on generic drugs.



Contact Info:
Program Manager: Betty Wilton
Phone: 503-373-1650
Email: betty.wilton@state.or.us
Website: www.opdp.org





Frequently Asked Questions about OPDP and
Medicare Part D Prescription Drug Coverage

If I enroll in Medicare Part D drug coverage why would I want to continue to use my OPDP discount card?
The OPDP discount card may give you a better discount than your Plan gives you when you are paying 100% of the drug cost. You will pay 100% of your drug costs when you are meeting a Plan’s deductible or during the “gap in coverage”. For some of the Part D plans this gap happens when individual’s prescription drug expenses are between $2,250 to $5,100 in a given year and they are responsible for 100% of their drug costs.

If I am enrolled in Medicare Part D drug coverage and I use my OPDP discount card why do I have to send my receipt to my Part D Health Plan?
If you want your OPDP expenses to apply towards your Medicare Part D costs, you must send your receipt to your Medicare Plan. Right now, the only way to get this information to your Plan is to send it in by mail. If that changes we will notify you. In the meantime it is very important to send the paper receipt to your Plan and notify them that it needs to be credited toward your Medicare deductible and out–of-pocket expense.

What if I am enrolled in a Medicare Part D Plan and I want to use my OPDP discount card on a drug not covered by my Medicare Plan drug list?
If the prescription drug is not on your Medicare Plan’s drug list, it cannot be counted toward your out-of-pocket expenses. However, every Medicare Plan has an exception and appeal process that you can follow to ask the Plan to pay for drugs that are not on their list. If the Plan approves your exception, your drug costs can count toward your Medicare deductible.

What if I am enrolled in a Medicare Part D Plan and I want to go to a pharmacy that is not on that Plan’s network but it is on the OPDP network?
You may go to a pharmacy on the OPDP plan and use your discount card. However, you should check with your Medicare Plan if you intend to use a pharmacy not on their list to make sure they will honor the receipt for your prescription as Part D expense.

I’m confused and don’t know whether to join Medicare Part D or not, what should I do?
You can call 1-800-Medicare (1-800-633-4227) or your Medicare health plan for questions about your Medicare options. You can also call the Senior Health Insurance Benefit Assistance (SHIBA) program at 1-800-722-4134 for assistance.

I don’t want to sign up for Medicare Part D, can I stay on the OPDP?
You may remain an OPDP member and use your card for discounts at OPDP pharmacies. However, you need to know that individuals who are eligible for Medicare Part D who choose not to enroll by May 15, 2006 will have a 1% per month penalty applied to their premium when they do enroll. In other words, if you choose to enroll a year later, your premium will be 12% higher

In 2003 the Oregon Legislature authorized the formation of the OPDP, a prescription drug purchasing pool, to help increase access to prescription drugs by the uninsured and lower costs for state and city governments to help them stay within budgeted goals.  The Oregon Prescription Drug Program (OPDP) will meet these goals by pooling prescription drug purchasing power, using evidence-based research to develop a preferred drug list of lowest cost drugs, negotiating competitive discounts with pharmacies and bringing transparent pharmacy benefit management services to groups. We hope to unite Oregon ’s prescription drug purchasers to leverage the best prices on the most effective medicines.  The OPDP went “live” on March 1, 2005 enrolling over 1,000 eligible Oregonians.
Effective December 7, 2006 the voters of Oregon passed Measure 44 by a 78% majority.  Measure 44 removed the eligibility criteria and opened the program to any resident without prescription drug coverage.
Effective February 1, 2007, OPDP joined the Washington Prescription Drug Program to form the Northwest Prescription Drug Consortium.  The Consortium entered into a contract with The ODS Companies for pharmacy benefit administration.