Provider Resources
Provider Tools
Provider Manual
The Provider Manual is a resource for participating providers of Ochsner Health Plan.
Provider Quick Reference Guide
A printable reference sheet of contacts and claims information for participating providers of Ochsner Health Plan.
Provider Directory
This directory provides a list of Ochsner Health Plan’s current network providers for Ascension, East Baton Rouge, East Feliciana, Iberville, Jefferson, Lafourche, Livingston, Orleans, St. Charles, St. John the Baptist, St. Tammany, and West Baton Rouge parishes in Louisiana.
- 2024 Online Provider Directory (link)
- 2024 Provider Directory (PDF) Updated 04/09/2024
- Durable Medical Equipment Providers Sheet (PDF)
Ochsner Health Plan Freedom (HMO POS) members may use Point-of-Service (POS) providers that are outside of our network for an additional cost. Out-of-network/noncontracted providers are under no obligation to treat Ochsner Health Plan members, except in emergency situations. Please call our member services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Prescription Drugs and Pharmacy
Part D Formulary*
Partial List of Covered Drugs (PDF)
Full List of Covered Drugs (PDF)
2024 Future Formulary changes (PDF)
Search the full formulary (link)
Drug Price & Pharmacy Search (link)
*Not For Use By Ochsner Health Plan Heroes (HMO POS) Plan Members
Ochsner Health Plan Part B Drugs Requiring Prior Authorization
Additional Information About Part D Prescription Drugs*
Important Drug and Pharmacy Information (PDF)
Medication Therapy Management Program (PDF)
Personal Medication List (PDF)
Medicare Part D Coverage Determination Form (link)
Prescription Drug Transition Policy (PDF)
Part D Quality Assurance Program (PDF)
Prescription Redetermination Form (PDF)
Prescription Drug Coverage Determination/Exception Request Form - Online Request Form (PDF)
Prescription Drug Prior Authorization Form (PDF)
Safer Use of Opioid Pain Medication (PDF)
List of Drugs Requiring Prior Authorization (PDF) May 2024
List of Drugs Requiring Step Therapy (PDF) May 2024
*Not For Use By Ochsner Health Plan Heroes (HMO POS) Plan Members
Pharmacy Directory
This Pharmacy Directory provides a list of Ochsner Health Plan’s participating pharmacies located within our service area, updated as of October 2023. For more recent information or to find Ochsner Health Plan participating pharmacies elsewhere in the United States, please use the Pharmacy Search Tool using your computer or smartphone. You can also call the Ochsner Health Plan Pharmacy Help Desk listed on the back of your Ochsner Member ID Card toll-free at 1-800-910-1837. The Ochsner Health Plan Pharmacy Help Desk is open 24 hours a day, 365 days a year (including holidays).