MedicaidCoverageMedium impact
Oregon Health Plan coverage of pharmacist-administered monoclonal antibody treatment effective September 1, 2021
Oregon Health Plan·OR · Family Medicine, Internal Medicine, Infectious Disease +1 more·Plan
Effective date
Sep 1, 2021
We identified it
Jun 20, 2026
Summary
Oregon Health Plan (Medicaid) now covers pharmacist-administered COVID-19 monoclonal antibody treatment (REGEN-COV) in all settings including pharmacies, clinics, hospitals, and patient homes. Pharmacists can now prescribe and administer subcutaneous injections under approved protocols.
Action Required
Immediately: Billing teams in Oregon should review the Oregon Medicaid COVID-19 Provider Guide for current billing codes and reimbursement rates for monoclonal antibody treatment. Update systems to allow pharmacist billing for REGEN-COV administration. Verify coverage includes subcutaneous injection, IV infusion, and monitoring services in all treatment settings.