Pharmacy Resources
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.
Drug Information for Medicare Advantage Plans
Part B Drug List Effective 1/1/23