800 468 5744 healthplan@opehw1.com Mon - Fri: 8am - 5pm
Certain medications covered under the OPEH&W Health Plan require the use of an equally effective and less expensive prescription medications before a more expensive alternative will be considered for coverage. The OPEH&W Health Plan’s Prescription vendor administers the Step Therapy process on behalf of the OPEH&W Health Plan.
Use the following links to access the Express Scripts (ESI) Formulary for each health coverage option:
Diamond
Platinum
Gold
Silver
Bronze
The OPEH&W Health Plan reserves the right to adjust this list from time to time as required.
If in doubt, contact the Health Plan Administration Office to verify whether a covered medication is subject to a Step Therapy.
Acne Medications (Oral) such as Oracea & Solodyn
Anti-Diabetic Injectables such as Byetta
Anti-Inflammatory Drugs such as Celebrex
Must first try generic non-steroidal Anti-Inflammatory drugs before Celebrex will be covered
Hypnotics such as Ambien
Overactive Bladder Drugs such as Detrol
Glucose Transporters such as Invokana
Topical Immunomodulators such as Elidel
Topical Corticosteroids such as Topicort
Topical Acne Drugs such as Metrogel
Ophthalmic Anti-Allergy Drops such as Pataday
The only non-profit public trust health plan; owned, ran & for Oklahoma's local government organizations.