Forms and Brochures

Sample Plan Contract and Benefit Schedule

• CommunityCare 1T Plans Contract and Benefit Schedule (PDF)
• CommunityCare 3T Plans Contract and Benefit Schedule (PDF)
• PPO Plans Contract and Benefit Schedule (PDF)
• PPO HDHP Plans Contract and Benefit Schedule (PDF)

Oregon

Oregon Essential Rx Drug List (PDF)

Washington

• Washington Essential Rx Drug List (PDF)
• Medications Qualifying for Emergency Fill (PDF)
• Medications Excluded from Emergency Fill (PDF)