Pharmacy services

Our pharmacy services team provides you with pharmacy benefits that show how much we care about the health and safety of you and your family. We thank you for the opportunity to support your prescription needs.

Pharmacy network

Our network lets you choose when and how to get your prescription drugs. We have contracts with over 63,000 pharmacies throughout the U.S., including retail pharmacies, home infusion, long-term care, Indian health service pharmacies, and specialty and mail-order pharmacies.

Use the Moda health Pharmacy Search online directory to find a pharmacy in our network.

Request a printed directory by emailing phipquestions@modahealth.com.

Download a pharmacy directory PDF:

Formulary

Our formulary is our list of covered prescription drugs. You can use it to see what generic and brand-name drugs are covered under our plan.

Please note this formulary may change (see our formulary updates section below to view changes). If you do not see the drug you are looking for, please call our pharmacy customer service at the number listed below. That drug may be covered. You can also contact pharmacy customer service to request a printed copy of the formulary. 

2026 Moda Health Rx (PDP) Formulary

Formulary updates

Changes to the formulary may include:

  • Adding or removing drugs. This happens if a drug is recalled, not working, or a new drug becomes available
  • Moving a drug to a higher or lower cost-sharing tier
  • Adding or removing a restriction on coverage
  • Replacing a brand-name drug with a generic drug

We will send you a notice if we make changes to a drug you're using.

Search for prescription drugs on the online benefit tool

With this tool you can:

  • Search for a drug to see if it's covered*
  • Get a prescription drug cost estimate
  • See if there is an alternative drug available
  • Find the price and location of pharmacies near you
  • Check the price or mail-order option

Follow these steps to use the online tool:

  1. Visit Moda Health Rx (PDP). A new window will open up
  2. Enter a drug name
  3. Select the medication form and strength
  4. Provide the total quantity and the number of days
  5. Enter your ZIP code

*Prescription drug information displayed on the online benefit tool is subject to change without notice and is not a guarantee of benefits. Your coverage is based on your plan benefit and eligibility at the time of service. If you have copay assistance, it may affect your maximum out-of-pocket amount. Coverage and cost sharing may vary for preventive services.

Pharmacy Customer Service

Call our Moda Health Pharmacy Customer Service team at 888-786-7509 (TTY users, dial 711). Our regular business hours are 7 a.m. to 8 p.m., Pacific time, seven days a week from Oct. 1 to March 31. After March 31, your call will be handled by our automated phone system on Saturdays, Sundays and holidays).