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Insurers

Health insurers offering a health benefit plan in Oregon per ORS 743.025 and OAR 836-053-1630 are required to provide information on the top 25 drugs for various categories: most frequently prescribed, most costly, and those causing the greatest increase in plan spending. Here is the consolidated list for each of these categories from each annual legislative report:

Consolidated insurer prescription drug lists  PDF  |  Excel 

Also, health insurers are required to provide the effect of prescription drug costs on premiums, including any effect that rebates or price concessions may have on premiums. The health insurers use the template provided below to provide the required data. The information provided from insurers is used to compile aggregate prescription drugs lists and analysis that you can see in the program's annual legislative reports.

Insurers are required to submit completed templates by May 1 each year.

Insurers and PBMs who have questions about completing their reports or need help can email DPT.RxReporting@dcbs.oregon.gov or join our open “office hours" meeting Thursdays from 10:00 – 10:30 AM (Pacific time) during February through May. This standing meeting is to answer questions you may have as you gather the data for your insurer or PBM report for DPT. We will update this page if a meeting is changed or cancelled.

JOIN ONLINE:
Microsoft Teams meeting
Click here to join the meeting
Meeting ID: 253 987 442 505 95
Passcode: 4k6dQ3F7

Or call in (audio only)
+1 503-446-4951,,633035762# 
CONFERENCE ID:  633 035 762#

Insurer report data

The program receives data per OAR 836-053-1630 from health insurers that offer a health benefit plan in Oregon and provides analysis of this data in the program’s annual legislative report.