Request a formulary  
 Complete the form below to have a PHIP Providence Medicare Advantage Plan formulary mailed to you.

The formulary may change at any time. You will receive notice when necessary. 
 

 
 
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Please include street address, city, state and ZIP code.
 
   
 
 
   
 
 
   
  Providence Medicare Advantage Plans is an HMO, HMO‐POS and HMO D-SNP with Medicare and Oregon Health Plan contracts. Enrollment in Providence Medicare Advantage Plans depends on contract renewal.

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Website is current as of 10/11/2019