faceMAY I HELP YOU?

We invite you to call or visit us today: Samaritan Health Plans, 815 NW 9th Street, Corvallis OR 97330, M-F, 8 a.m. to 4:30 p.m.
(541) 768-5216
(866) 300-4100
Or, send us an email

Pharmacy benefits and services

This is only a brief summary of benefits. Please refer to your Plan document for a further explanation of benefits, including limitations and exclusions.

2008 Prescription Drug Benefit
Therapeutic Generic Preferred Non-
Preferred 		High-Cost
Injectables
$0 for 7 specified generic drugs* $5 or 20%, whichever is greater $10 or 25%, whichever is greater 50% 10%

*Enalapril and lisinopril for high blood pressure; lovastatin and simvastatin (generic Zocor) for high cholesterol; glipizide, glyburide and metformin for diabetes

This plan covers medically necessary prescription drug services through a Samaritan Health Services pharmacy. The following is a list of the current participating Samaritan Health Services pharmacies:

  • Albany
    • Elm Street Pharmacy, 812-5071, 812-5070 (24 hr. prescription refill), M-F 8 a.m. to 6 p.m., Sat. 9 a.m. to 12 p.m.
    • Geary Street Pharmacy, 812-5544, M-F 9 a.m. to 7 p.m., Sat. 10 a.m. to 6 p.m.
  • Corvallis
    • Samaritan Pharmacy Services at Good Samaritan Regional Medical Center, 768-5225 or 768-5230, M-F 7 a.m. to 7 p.m., Sat. 9 a.m. to 1 p.m.
  • Lebanon
    • Samaritan Lebanon Community Hospital Pharmacy, 451-7119, M-F 9 a.m. to 5 p.m., Sat. 9 a.m. to 4 p.m.  
  • Newport
    • Samaritan Pacific Community Hospital Pharmacy, 574-4740, M-F 9 a.m. to 5 p.m., Week-ends 9 a.m. to 3 p.m. 
  • Lincoln City
    • Samaritan North Lincoln Hospital Pharmacy,  996-7375, M-F 10 a.m. to 11 a.m. and 2 a.m. to 3 p.m.

If you are out of Lincoln, Linn or Benton Counties during an emergency situation, this plan covers prescription drugs received from any pharmacy. You or a family member must first pay the total cost of the prescription and then submit the receipt to Choice Claims Administrator for payment.

Each claim is reviewed by the Administrator and evaluated to determine whether it qualifies for reimbursement based upon emergent use criteria. You will either be reimbursed as specified above or notified if the claim does not meet emergent use criteria.

If the out-of-pocket maximum has been reached or if you have double coverage through Samaritan Choice for prescription expenditures, an additional $30 co-pay will apply, per prescription, if the member does not use a drug in the lowest Tier that has a therapeutically equivalent drug available.

Send claims to:
Samaritan Choice Plans
PO Box 336
Corvallis, OR 97339