Does Moda Health Oregon Standard Gold Affinity cover pseudoephedrine / triprolidine?
Moda Health Oregon Standard Gold Affinity
39424-39424OR1670001-0 · ACA · ACA Marketplace
pseudoephedrine / triprolidine
pseudoephedrine / triprolidineunder Moda Health Oregon Standard Gold Affinity
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
- Tier
- Non preferred generic
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (2)
- pseudoephedrine hydrochloride 60 MG / triprolidine hydrochloride 2.5 MG Oral TabletAmount limit
- pseudoephedrine hydrochloride 60 MG / triprolidine hydrochloride 2.5 MG Oral Tablet [Wal-Act]Amount limit