h�bbd``b`�$g�X�[����\�H�� �`g\ �7�U$x5A, � ҫ$b� ;A&F� ����J���� U� H Nadolol: 80–160 mg once a day. If you wish to stay on this website, please click Cancel. We will tell you 60 days before the following changes are made to the list of drugs:If the Food and Drug Administration (FDA) or the drug’s maker says a drug is not safe, it will be removed from our list of drugs right away.If you have questions about our list of drugs, or want the most recent version, Login to access your health information or register if you are a first time user.From October 1 – March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 – September 30, you can call us Monday – Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays.This site contains various Trillium Medicare Advantage links and resources. You will receive notice when necessary.Trillum Medicare Advantage Dual (HMO SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2018 based on a review of Trillium Advantage Dual (HMO SNP)’s Model of Care.Every year, Medicare evaluates plans based on a 5-star rating system.You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. This information is not a complete description of benefits. %PDF-1.6 %���� Trillium Medicare Advantage Dual (HMO SNP) is available to anyone who has both Medical Assistance from the State and Medicare.Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Drugs on our list of drugs are covered when you use our network pharmacies or mail order program for maintenance drugs. Some drugs we cover have limits or other rules.The Pharmacy and Therapeutics Committee, our team of independent healthcare experts, reviews and approves our list of drugs. The Trillium Drug Program (TDP) is intended for Ontario residents who have high prescription drug costs in relation to their net household income.The TDP provides coverage for prescription drug products (in the same manner as the Ontario Drug Benefit program) that are listed on the Formulary:. If we approve your expedited request, we must give you a decision within 24 hours after we get your doctor’s statement.Drugs may be added or removed from our list of drugs during the year. Please contact the plan for further details.The Formulary, pharmacy network, and/or provider network may change at any time. Other drugs are not on the list because of clinical and cost reasons.You can search for a drug by using the search tool, alphabetical index or by medical condition. Formulary 2020: Therapeutic Class Advanced Health is a mandatory generic plan. Some drugs may not be covered or are excluded. endstream endobj 1758 0 obj < In general, we cover your drugs if they are medically necessary. Our list of drugs (formulary) shows the Part D drugs that we cover. Trillium Medicare Advantage is a Coordinated Care plan (HMO SNP) with a Medicare contract and a contract with the Oregon Medicaid program. �>�1d�������1,�Ѷm�$�]t�����T�р�����T���Xd�?�����b�����&�����G�30�>M�"^�j�Ɣ}pw*20}(�D> ��0 We don’t include all drugs. For more recent information or other questions, please contact Trillium Advantage Dual (HMO D-SNP) at 1-844-867-1156 or, for TTY users, 711, from October 1 – March 31, seven days a week, 8 a.m. to 8 p.m., from April 1 - September 30, Monday through Friday, 8 a.m. to 8 p.m. Generics must be used when commercially available. Enrollment in Trillium Medicare Advantage depends on contract renewal.This information is not a complete description of benefits. %%EOF The preferred meter and testing strips are Trividia Health products (True Metrix and True Metrix Air meters). 1757 0 obj <> endobj 2020 PREFERRED DIABETIC TESTING SUPPLIES. This formulary was updated on 09/01/2020. Metoprolol: 50 mg four times a day. You can ask for a fast (expedited) exception if you or your doctor believe that your health could be seriously harmed by waiting up to 72 hours. Enrollment in Trillium Medicare Advantage depends on contract renewal.This information is not a complete description of benefits.

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