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Pharmacy Resources

Ensuring Access to Safe and Effective Medications

At Trillium Community Health Plan we are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Trillium members. With our partners, we provide innovative and tailored pharmacy solutions, improving member health outcomes by ensuring access to essential medications, cost effective treatments and personalized clinical programs.

Clinical Programs and Medication Adherence

Trillium offers tailored clinical programs that are customized to drive medication adherence and reduce medication errors. These programs are designed to improve health outcomes by supporting members in managing chronic conditions and ensuring they receive the right medications at the right time to get and stay healthy.

Medication Therapy Management (MTM): Our MTM programs support members in understanding and managing their medications, helping to optimize their health regimens and improve therapeutic outcomes.

Medication Coverage

Our Pharmacy program uses a large network to give members access to many types of pharmacies, including retail, mail-order and specialty pharmacies. This makes it easy for members to get their medications. We work closely with our pharmacy programs to make sure the needs of our Trillium members are met.

Trillium covers certain prescription drugs and over-the-counter drugs when prescribed by a Trillium provider. The pharmacy program does not cover all drugs. Some require prior authorization. Some drugs have limitations on age, dosage or maximum quantities.

The Preferred Drug List (PDL) is the list of drugs covered by Trillium. 

The Preferred Drug List 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 2025 - 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 2025 - Oregon Health Plan (PDF)

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.

Specialty Pharmacy Services

Access to Specialty Medications

Through our specialty pharmacy services, we offer support for high-cost medications and complex therapies, ensuring members have access to the treatments they need with the guidance of a dedicated pharmacy team.

Your Specialty Pharmacy is AcariaHealth

AcariaHealth is a national specialty pharmacy dedicated to transforming lives through compassionate care. They focus on enhancing the health and outcomes of people with complex medical conditions. AcariaHealth takes a collaborative approach to care, working closely with providers and their offices to tailor treatment programs to meet members’ unique needs.

AcariaHealth provider services include:

  • Single point of contact (Provider Experience Managers)
  • Support with referral and prior authorization processes
  • Web-based collaboration and enhanced communication

How to send a prescription referral

  • E-prescribe: Find AcariaHealth in your electronic medical records (EMR) system.
  • Phone: Dial 800-511-5144 Ext 608.0033 to speak directly to our pharmacists.
  • Fax: Send completed referral form via fax to 877-541-1503.

Download our referral forms.

Contact AcariaHealth

P: 1-800-511-5144 (TTY 711)
F: 1-877-541-1503

customercare@acariahealth.com

Learn more about AcariaHealth. 

Sometimes, certain medications are not available through AcariaHealth. For example, some medications are only available at other pharmacies in a limited distribution network. In these cases, we will cover your medication through a different specialty pharmacy.

Learn More

Get in Touch: For more information, contact us at: 1-877-600-5472.

Drug Information for Medicare Advantage Plans

Part B Step Therapy List Effective 1/1/25 (PDF)

Part B Step Therapy List Effective 1/1/24 (PDF)

Part B 2025 Alternative Covered Drug List (PDF)

For more information on Pharmacy benefits, visit Wellcare by Trillium Advantage.