CareOregon

Pharmacy and drug authorizations

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

pharmacy help desk

Pharmacy help desk — OHP (Medicaid) members

Official page read
Phone844-245-0449Published hours

24/7

Product, plan and location

medicaid
Oregon

Mailing address

Not researched for this route

24/7 technical assistance for pharmacy staff resolving CareOregon OHP claim questions. Pharmacy PA is handled through OptumRx (professionals.optumrx.com).

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

Pharmacy help desk — CareOregon Advantage (Medicare) members

Official page read
Phone866-325-7344Published hours

24/7

Product, plan and location

medicare advantage · medicare part d
Oregon

Mailing address

Not researched for this route

24/7 technical assistance for pharmacy staff resolving Medicare (CareOregon Advantage) claim questions.

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

Free Market Health — specialty pharmacy referral status (Medicaid)

Official page read
Phone877-787-0520Published email

prescribers@freemarkethealth.com

Published hours

Not published in this record

Product, plan and location

medicaid
Oregon

Mailing address

Not researched for this route

Prescribers confirm the assigned specialty pharmacy or check status of a member's specialty referral under CareOregon's Free Market Health program.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

Have ready in your secure workspace

  • PBM name and the pharmacy identifiers on the card
  • Drug, formulation and prescription information
  • Prescriber details and previous review reference

Questions to resolve

  • Is this processed under the medical or pharmacy benefit?
  • What is the correct review and submission channel?
  • Is there a separate specialty pharmacy or appeal team?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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