Pharmacy
Prescription medicine coverage may be part of your Dual Choice PPO insurance plan. Where you choose to have your outpatient prescription drugs filled will determine how much you pay for your medicines. Your pharmacy options are: Kaiser Permanente Pharmacies or MedImpact Pharmacies. You can choose any pharmacy option regardless of the prescribing provider.
In-Network Pharmacies
Kaiser Permanente Pharmacies & MedImpact Pharmacies
Kaiser Permanente Pharmacies
Prescriptions through Kaiser Permanente Pharmacies.
You can fill prescriptions (written by any provider) at pharmacies located in Kaiser Permanente medical offices. You will pay the lowest out-of-pocket costs at these pharmacies. Choose how to fill your prescriptions:
At Kaiser Permanente medical offices. Most Kaiser Permanente medical offices have pharmacies. Kaiser Permanente doctors can send most prescriptions electronically to the pharmacy—or you can present your prescription with your ID card. Visit kp.org/locations to search for Kaiser Permanente pharmacies.
Online. Register at kp.org/register to order most refills online and have the medicine mailed to you.
Mail Order. Mail order prescriptions are available through the Kaiser Permanente Mail Order Pharmacy. Call us at 1-800-548-9809 (TTY 711), 24 hours a day, and have the medicine mailed to you or available for pick up at any medical office.*
Prior authorization of Outpatient Prescription Drugs
Members will need to get prior authorization for certain outpatient prescription drugs. This helps to ensure that outpatient prescription drugs ordered by your doctor are medically necessary, cost-effective, and the most appropriate treatment for your condition.
Find out what drugs are covered.
Access the Kaiser Permanente Northwest Commercial Formulary.
*A program operated or arranged by a health plan distributes prescription drugs via mail to members with addresses in Oregon or Washington. Some medications are not eligible for the Mail Service Delivery Program. These may include, but are not limited to, drugs that are time or temperature sensitive, drugs that cannot legally be sent by U.S. mail, and drugs that require professional administration or observation.
MedImpact Pharmacies
Prescriptions through MedImpact retail pharmacies.
You can fill prescriptions (written by any provider) at MedImpact Pharmacies. You can use any of the retail pharmacies nationwide that participate in the MedImpact pharmacy network.
Not all locations in a chain participate; some are independently contracted. To check on a specific pharmacy or for more information, call Customer Service at 1-866-616-0047 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m., Pacific time, or visit the Dual Choice PPO Provider Directory.
Mail Order. Use CVS Caremark mail-order pharmacy. Visit caremark.com or call CVS Caremark at 1-800-841-5550.Prior authorization of Outpatient Prescription Drugs
Members will need to get prior authorization for certain outpatient prescription drugs. We’ve partnered with MedImpact to help ensure that outpatient prescription drugs ordered by your doctor are medically necessary, cost-effective, and the most appropriate treatment for your condition. Before you receive certain outpatient prescription drugs, your physician should request prior authorization by calling MedImpact. MedImpact will facilitate the prior authorization process with the physician. MedImpact can be reached at 1-800-788-2949 (TTY 711).
Find out what drugs are covered.
Access the Kaiser Permanente Northwest Commercial Formulary for drugs requiring prior authorization
Access the Drug Reimbursement Form for the Pharmacy Claim form
Pharmacy Claims Address:
MedImpact Healthcare Systems, Inc.
PO Box 509098
San Diego, CA 92150-9098
For more information, refer to your Evidence of Coverage or call Customer Service for assistance at 1-866-616-0047 (TTY 711).
How to save money on prescriptions.
- You can fill prescriptions you get from In-Network or Out-of-Network Providers at Kaiser Permanente pharmacies, where you’ll usually pay the lowest copay.
- Just bring your prescription and your ID card to the medical office. To find medical offices, search the Dual Choice PPO Provider Directory.
- If you are registered at kp.org, you’ll be able to order refills online or by phone and have them delivered, with no cost for postage (applies to most drugs).
- Information will become part of your Kaiser Permanente medical record, for better coordinated care.