Umpqua Health Alliance (UHA) is committed to providing appropriate, high-quality, and cost-effective medication therapy to our members. For a list of the medications we cover, refer to the Drug List and Prior Authorization section below. We also provide clinical services to help members and providers manage medication therapy. For more information, see our Medication Therapy Management section below.
Our list of covered medications, also called a preferred drug list or “formulary”, and our coverage guidelines for drugs on our formulary that require a prior authorization are included below. (Note: for the list of CPT codes for medications covered under the medical benefit, refer to the Prior Authorization Grid on the Prior Authorization page.)
Prior Authorization Forms: Use the following forms when submitting a prior authorization form. For drugs covered under the medical benefit (injections/infusions) use the Professionally Administered Drug (PAD) prior authorization form. For medications covered under the pharmacy benefit, use the medication prior authorization form.
Our Pharmacy team has taken the latest guidelines surrounding Asthma and COPD and have created easy-to-use management tools that align with current medications on the UHA Formulary. You can use this for all of your patients to ensure the most effective yet cost effective approach to treating these respiratory conditions. Of course, proper management supposes correct diagnosis, which relies on spirometry to confirm diagnosis and assess severity of these conditions. These resources are located here.
The Umpqua Health Alliance (UHA) Medication Therapy Management (MTM) program offers assistance to members who need help managing their chronic drug therapy. MTM is a range of services that optimize drug therapy with the intent of improving therapeutic outcomes for our members by identifying, preventing and resolving medication-related problems. To refer a member to the MTM Program, submit the completed referral form (link below).
Locate an in-network pharmacy by clicking the link below:
Get your prescriptions through the mail! UHA has a mail order pharmacy, Postal Prescription Services, in our pharmacy network. A mail order pharmacy is a pharmacy which delivers drugs through the mail directly to your home.
For all pharmacy and medication questions, please contact us at UHPharmacyServices@UmpquaHealth.com.