MedicaidCoverageLow impact
Request for comment - Proposed State Plan Amendment to add OTC drugs to description of outpatient drug coverage
Oregon Health Plan·OR·Public notice
We identified it
Jun 20, 2026
Summary
Oregon Medicaid is proposing to add over-the-counter products like melatonin to their covered outpatient prescription drug list when recommended by the Oregon Pharmacy & Therapeutics Committee. This is currently in public comment phase with comments due May 1, 2021.
Action Required
Monitor for final approval of this State Plan Amendment after May 1, 2021. Once approved by CMS, billing team should verify which specific OTC products are added to Oregon Preferred Drug List and update billing procedures for Oregon Medicaid patients accordingly.