MedicaidCoverageMedium impact
Oregon Health Plan coverage of oseltamivir (Tamiflu), effective immediately
Oregon Health Plan·OR · Family Medicine, Internal Medicine, Pediatrics +1 more·Plan
Effective date
Dec 9, 2022
We identified it
Jun 20, 2026
Summary
Oregon Health Plan (Medicaid) now covers both brand and generic oseltamivir (Tamiflu) for reimbursement due to generic drug shortages and respiratory infection surge. This emergency measure ensures pharmacies can dispense either version and receive payment.
Action Required
Immediately: Billing team must verify that billing systems accept claims for both brand and generic oseltamivir (Tamiflu) for Oregon Health Plan members. Ensure pharmacy billing can process reimbursement for either version without rejections. Contact OHA account representative if payment issues occur.