Upmc Health Plan Medication Formulary

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UPMC Health Plan Find a Medication

(1 days ago) WEBUPMC Health Plan recommends that you contact the providers listed in this directory to confirm that the information remains current. UPMC Health Plan offers affordable health care coverage options for people from all walks of life. Find a medication here.

https://www.upmchealthplan.com/find-a-medication/default.aspx

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Pharmacy Resources For Health Care Providers - UPMC Health Plan

(8 days ago) WEBHEDIS – Asthma Medication Ratio (AMR) Tip Sheet. Heart Failure: Directed Medication Therapy – ARNi and SGLT2i. Opioid Resources and Fact Sheet. Prescribing a Statin to Your Patients Tip Sheet. HRM Display Measure Tip Sheet. To find or select a pharmacy please visit Find Care. Quickly access UPMC Health Plan's pharmacy-related …

https://www.upmchealthplan.com/providers/medical/resources/other/pharmacy.aspx

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Medicaid Pharmacy Coverage UPMC for You

(4 days ago) WEBThe UPMC for You Pharmacy Formulary (Non-PDL) ( Formulario de Farmacia (Lista de Medicamentos No Preferidos PDL) de UPMC for You) is a list of Food and Drug Administration (FDA) approved medications. …

https://medicaid.upmchealthplan.com/learn/whats-covered/pharmacy

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FEHB: Prescription Drug Coverage UPMC Health Plan

(7 days ago) WEBIf your prescribing physician demonstrates to UPMC Health Plan that a brand-name medication is medically necessary, you will pay only the copayment associated with the nonpreferred brand-name medication. As a UPMC Health Plan FEHB member, you may receive coverage for your prescription drugs. Learn more about prescription drug …

https://www.upmchealthplan.com/fehb/additional-benefits/prescription-drug-coverage.aspx

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Pharmacy Prior Authorization Providers UPMC …

(1 days ago) WEBIf you require a prior authorization for a medication not listed here, please contact UPMC Health Plan Pharmacy Services at 1-800-979-UPMC (8762). If you are unable to locate a specific drug on our formulary, you …

https://www.upmchealthplan.com/providers/medical/resources/forms/pharmacy-pa.aspx

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Medicare Plans with Prescription Drug Coverage UPMC for Life

(Just Now) WEBEligible for Medicare and Medicaid. Request a Provider Directory or Plan Materials. Medication Therapy Management. Language Assistance. 1-866-400-5077 (TTY: 711) for Life for Life. 1-877-539-3080 (TTY: 711). for Life for Life for Life. UPMC for Life offers many plan options that combine medical and Part D prescription drug coverage.

https://www.upmchealthplan.com/medicare/learn/basics/learn-about-medicare-prescription-coverage.aspx

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Pharmacy Coverage UPMC Community HealthChoices - UPMC …

(8 days ago) WEBParticipants who need help finding a pharmacy, or have questions about their prescription coverage, can call the UPMC Community HealthChoices HealthCare Concierge team at 1-844-833-0523 (TTY: 711). UPMC Community HealthChoices offers prescription drug coverage for participants. Learn more information on covered drugs and participating …

https://www.upmchealthplan.com/chc/learn/benefits/pharmacy-coverage/

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Chapter J Pharmacy Services - UPMC Health Plan

(1 days ago) WEBPharmacy Services is available from. 8 a.m. to 6 p.m., Monday through Friday, and Saturday from 8 a.m. to 3 p.m. Providers may submit coverage determination requests to Pharmacy Services electronically online at upmc.promptpa.com, by calling 1-800-979-8762, or by sending a fax to 412-454-7722.

https://www.upmchealthplan.com/docs/providers/2022_ProviderManual_J.pdf

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UPMC Health Plan Marketplace

(9 days ago) WEBIndividuals with high deductible plans may pay full cost of drug until deductible is met. Strength: amoxicillin 400 mg-potassium clavulanate 57 mg chewable tablet. amoxicillin 200 mg-potassium clavulanate 28.5 mg chewable tablet; amoxicillin 125 mg-potassium clavulanate 31.25 mg chewable tablet;

https://www.upmchealthplan.com/marketplace/search.aspx?formularyyear=&formulary=8&drug=2020

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UPMC Health Plan Marketplace

(9 days ago) WEBIndividuals with high deductible plans may pay full cost of drug until deductible is met. Strength: ampicillin-sulbactam 15 gram solution for injection ampicillin-sulbactam 15 gram solution for injection; Ampicillin-Sulbactam is not included in this formulary. Member pays full cost. Alternative Drug Information

https://www.upmchealthplan.com/marketplace/search.aspx?formularyyear=&formulary=1&drug=2022

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Pharmacy Services Chapter J Pharmacy Services - UPMC …

(1 days ago) WEBOnce-Daily Dosing. To improve adherence to medication regimens, UPMC Health Plan requires once-daily dosing for certain medications. A provider who feels a member needs multiple daily doses may call Pharmacy Services at 1-800-979-8762 from 8 a.m. to 5 p.m., Monday through Friday.

https://www.upmchealthplan.com/docs/providers/2020_ProviderManual_J.pdf

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UPMC Health Plan Marketplace

(1 days ago) WEB* Your cost reflects copayment amount for drug. Individuals with high deductible plans may pay full cost of drug until deductible is met. Adderall is not included in this formulary. Member pays full cost. A generic drug may be available. A drug with the same active ingredients is covered. Your pharmacist may automatically substitute your

https://www.upmchealthplan.com/marketplace/search.aspx?formulary=1&drug=70938

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UPMC Options (HMO SNP) 2016 Formulary (List of Covered …

(6 days ago) WEBWhen this drug list (formulary) refers to “we,” “us”, or “our,” it means UPMC Health Plan. When it refers to “plan” or “our plan,” it means UPMC for Life Options. This document includes a list of the drugs (formulary) for our plan which is current as of November 1, 2016. For an updated formulary, please contact us.

https://www.upmchealthplan.com/docs/snp/2016/Formulary_Options.pdf

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UPMC Health Plan Marketplace

(3 days ago) WEBPrescription drug and other costs related to the visit or recommended by the provider will not be included in the virtual visit coverage and will be your responsibility. If you are enrolled in the UPMC Advantage Silver or Gold HSA $2,900/$0 plans, UPMC AnywhereCare virtual visits will be covered at 100 percent after you meet your deductible.

https://www.upmchealthplan.com/marketplace/search.aspx?formularyyear=2024&formulary=8&drug=3797

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UPMC Health Plan Marketplace

(3 days ago) WEBWith UPMC Health Plan, you'll have access to: $0 preventive care that can help you and your family stay healthy. Screenings, immunizations/vaccines, and health exams for adults and children are covered at 100 percent. 1

https://www.upmchealthplan.com/marketplace/search.aspx?formularyyear=2023&formulary=8&drug=5326

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UPMC for Life 2016 Formulary - UPMC Health Plan

(8 days ago) WEBUPMC Health Plan Inc., UPMC Health Network Inc., and UPMC Health Benefits Inc. This document may be available in an alternative format such as Braille, large print, or audio; please call Member Services, at 1-877-539-3080 or, …

https://www.upmchealthplan.com/docs/medicare/2016/2016_Formulary.pdf

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UPMC Health Plan Marketplace

(5 days ago) WEB* Your cost reflects copayment amount for drug. Individuals with high deductible plans may pay full cost of drug until deductible is met. Voltaren is not included in this formulary. Member pays full cost. A generic drug may be available. A drug with the same active ingredients is covered. Your pharmacist may automatically substitute your

https://www.upmchealthplan.com/marketplace/search.aspx?formularyyear=2024&formulary=8&drug=170532

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UPMC Health Plan Marketplace

(4 days ago) WEBAbilify is not included in this formulary. Member pays full cost. Notice: Abilify requires prior authorization. With UPMC Health Plan, you'll have access to: $0 preventive care that can help you and your family stay healthy. Screenings, immunizations/vaccines, and health exams for adults and children are covered at 100 percent. 1. Three

https://www.upmchealthplan.com/marketplace/search.aspx?formularyyear=2024&formulary=8&drug=73185

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