April 2026 Drug List Change Notification (Commercial)
Updates on Existing CriteriaApril 2026. The following changes to criteria are effective by April 9, 2026:Prior Authorization Criteria...
News and updates
Pharmacy prior authorization extension notification
As part of our effort to improve access to affordable healthcare, our Pharmacy department is reducing administrative burden by extending the approved date range for certain maintenance...
February 2026 Drug List Change Notification (Commercial)
Updates on Existing CriteriaThe following changes to criteria are effective by February 22, 2026:Prior Authorization Criteria – Clinical Updates...
January 2026 Community Solutions (Medicaid) formulary and coverage policies notification
We would like to inform you of changes to our PacificSource Community Solutions formulary and coverage policies.We have recently updated our prior authorization list and coverage...
Continued access to care through St. Charles & Salem Health for Commercial and Medicare Members
Update on St. Charles Health System
We’re happy to share that PacificSource has reached agreements with St. Charles Health System for our Commercial plans in...
We’re happy to share that PacificSource has reached agreements with St. Charles Health System for our Commercial plans in...
Continued access to care through St. Charles Health System
We’re happy to share that PacificSource has reached agreements with St. Charles Health System for our Commercial plans in 2026 and 2027 and our Medicare plans in 2026.There...
December 2025 Drug List Change Notification (Commercial)
Updates on Existing CriteriaDecember 2025. The following changes to criteria are effective December 22, 2025:
Prior Authorization...
Prior Authorization...
Idaho 2026 Individual & Family Rate Changes
Idaho individual and family health plan rates are increasing in 2026.To learn more about the reasons behind these changes, review the justification for the proposed changes (PDF).
November 2025 Community Solutions (Medicaid) formulary and coverage policies notification
We would like to inform you of changes to our PacificSource Community Solutions formulary and coverage policies.We have recently updated our prior authorization list and coverage...
Montana State Based Drug List Change Notification (Commercial)
Updates on Existing CriteriaOctober 2025. The following changes to criteria are effective October 1, 2025:
Removed from Formulary...
Removed from Formulary...