Trillium Community Health Plan (Trillium) is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Trillium members. Trillium covers prescription medications and certain over-the-counter medications with a written order from a Trillium provider. The pharmacy program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.
- OHP Pharmacy PA form (PDF)
- Request to Revise Pharmacy Coverage Criteria (PDF)
- Non-Formulary Drug Coverage Request (PDF)
- Pharmacy Lock-In Referral Form (PDF)
- Pharmacy Criteria
The Preferred Drug Lists below is for Lane/Douglas/Linn county Trillium OHP service area, and the Multnomah/Washington/Clackamas county Trillium OHP service area. Trillium Preferred Drug List (PDL) List of Covered Drugs for 2023 - Oregon Health Plan (PDF)
Las Listas de medicamentos preferidos a continuación son para el área de servicio de Trillium OHP del condado de Lane/Douglas/Linn y el área de servicio de Trillium OHP del condado de Multnomah/Washington/Clackamas. Lista de medicamentos preferidos (PDL) de Trillium Lista de medicamentos cubiertos para 2023 - Oregon Health Plan (PDF).
- Trillium Preferred Drug List Alternatives (PDF)
- Preferred Drug List (JSON) – A machine-readable list of covered prescription drugs
Other useful links:
Electronic Prior Authorization Submissions
Submit your prior authorization (PA) requests electronically through our preferred solution CoverMyMeds. Electronic prior authorization (ePA) automates the process, making it a quick and simple way to complete PA requests. The ePA process is HIPAA compliant and enables faster determinations. You may also use this link to track ePA requests.