OAR 333-022-1070: CareAssist: Prescriptions

(1) Unless an exception applies under subsections (3)(a) or (b) of this rule, CAREAssist clients must use an Authority-approved CAREAssist in-network pharmacy for all: (a) Medications not designated as acute on the CAREAssist formulary; (b) Chronic care medications; and (c) Medications paid for in full by the Authority (2) The Authority must provide to each client a list of approved pharmacies and post the information on the CAREAssist website. (3) A CAREAssist client may use a non-CAREAssist in-network pharmacy if: (a) His or her insurance carrier requires use of a pharmacy that is not a CAREAssist in-network pharmacy; and (b) He or she has provided the Authority with a copy of the insurance summary of benefits for that insurance plan and the requirement to use a non-CAREAssist in-network pharmacy is explicitly stated in that insurance summary.