SoonerCare Member Memo - July 2021

SoonerCare Member Memo

July 2021

In the News

COVID-19 Vaccines for Children 12 and Up

School is right around the corner and now is the time to get your kids ready to go back to school safely. Kids 12 and up are eligible for the COVID-19 vaccine. We encourage you to provide an extra layer of protection by getting your child the COVID-19 vaccine before returning to school.

Booking an appointment is easy at or text your zip code to 438829 (GETVAX). It’s also a good time to ensure your child is up-to-date on all their other immunizations. Let’s all get back to school safely.

Do You Know the Difference Between Medicare and Medicaid?

Medicare vs. Medicaid.
Some members are listing Medicare in the insurance tab for online enrollment. But Medicare and Medicaid are different programs.

Medicare is a federal system of health insurance for people over 65 years of age and for certain younger people with disabilities.

Medicaid (SoonerCare) is a federal system of health insurance for those whose annual income is below a certain amount. You can find SoonerCare's income guidelines here.

If you have insurance from an employer or other source, please list in the online enrollment application. If a member does have Medicare, that can also be listed on the application.

SoonerCare Expansion

If you or someone you know has previously not qualified for SoonerCare, you may qualify under our new expanion population. To find information such as the new income guidelines, visit

Click here to see one of our new members talk about how SoonerCare expansion has changed her life.

To apply for SoonerCare, visit


SoonerCare Pharmacy Benefits

SoonerCare members can use almost any pharmacy in Oklahoma. To find a pharmacy near you, use the OHCA Provider Directory. Choose “SoonerCare” as the plan. Then, choose “Pharmacy” as the specialty. Next, choose your city or town. Then, you’ll see all the nearby pharmacies that take SoonerCare. We also have an alphabetized list of pharmacies.

The maximum number and cost of prescriptions you can get each month depends on your age.

Ages 21 and older:

  • 6 total prescriptions each month
  • 2 brand name drugs each month
  • Copay for each prescription is $4

Ages 0 to 20:

  • Unlimited number of prescriptions
  • No copay

We also cover some over-the-counter (OTC) drugs with a prescription from your provider. Some drugs don’t even count against the monthly prescription limit. Examples include prenatal vitamins, birth control, some drugs to treat HIV/AIDS and cancer, and some smoking cessation products.

Do you want to make the most of your prescription drug benefit? Ask for a 90-day supply of your maintenance or daily drugs! Many drugs are on the 90-day Maintenance Drug List

Just look at the difference it made for this adult member!

90 Day 2

On just one medication, she saved $32! She made fewer trips to the pharmacy! She didn’t run out of her medication! And, she used fewer plastic bottles! Give it a try!

Do you still have questions? Visit the pharmacy FAQ page or call the pharmacy help desk at 405-522-6205, option 4, or toll-free 800-522-0114, option 4.

Tobacco Cessation

SoonerCare Members Get Even More Benefits

Quitting tobacco is one of the healthiest choices you can make, but it can feel intimidating at first. Let SoonerCare and the Oklahoma Tobacco Helpline help you with your quit journey!

SoonerCare covers all FDA-approved medications to help you quit tobacco. These do not count against the six-prescription limit per month. Learn more here.

Where Do I Find

Helpful COVID-19 Vaccine Resources

Statewide Links:

  • Oklahoma State Department of Health vaccine registration portal.

Oklahoma State Department of Health:

Pharmacies and Urgent Care Clinics

Tribal Citizens:

Check with your tribe, Indian Health Service and local tribes to see if you are eligible to receive a vaccine through them.

SoonerCare Resources

  • Information you need to know in one central place! Check out the Member Toolkit here: SoonerCare Member Toolkit.
  • If you are in the Oklahoma City area and are looking for a great way to exercise and have fun with no pressure? Check out

Get in Touch

Follow Us on Social Media

The SoonerCare and Insure Oklahoma Facebook and Twitter pages are no longer active. Follow Oklahoma Health Care Authority on Facebook and Twitter for updates, new policies, health tips, helpful resources and more! You can find OHCA's profiles by clicking the links below.


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Oklahoma Health Care Authority

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About OHCA


Our vision is for Oklahomans to be healthy and to have access to quality health care services regardless of their ability to pay.


OHCA Core Principles:

Passion for Our Purpose

Empowerment and Accountability

Trust and Transparency


Servant Leadership


The Oklahoma Health Care Authority does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services.

Please submit any questions, comments or content suggestions to Aaron Askew ( from OHCA's strategic communications office: 405-522-7403.

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