A formulary is a list of prescription medications that are covered under Upmc Health Plan, Inc.'s 2020 Medicare Advantage Plan in Pennsylvania. You can also search for covered drugs with our online searchable formulary. PHARMACY. Get in touch with us now so we can learn more about your objectives. Below is the Formulary, or drug list, for UPMC for Life HMO Rx (HMO) from Upmc Health Plan, Inc.. A formulary is a list of prescription medications that are covered under Upmc Health Plan, Inc.'s 2020 Medicare Advantage Plan in Pennsylvania. This formulary was updated on 12/01/2020. Download the Drug List for Diamond and Ruby Plans List of Covered Drugs (Formulary) Introduction. ; The Medicare Advantage plans (i.e. Please review the attached charts for formulary alternatives. This means these drugs will remain available at the same cost-sharing and with no new restrictions for those members 2020 Formulary (List of Covered Drugs PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN Formulary ID Number: 20118, Version 13 This formulary was updated on 11/24/2020. To Top. The list does not include every medication a doctor might prescribe. UPMC looks for ways to maximize the value of its benefits, which sometimes involves adding or removing medications to the formulary. 2. The UPMC for Life HMO Rx (HMO) plan has a $0 drug deductible. Year 2020 UPMC Health Benefits, Inc. (An affiliate of UPMC Health Plan) 2020 National Complementary Plan w/ Rx - University of Pittsburgh Covered Services Changes Full Coverage with Wrap-around: During the Coverage Gap Stage, the member will continue to pay the same copays as in the Initial Coverage stage. If you find out that your drug is not covered, you can do 1 of these things: 1. 2020 Drug Search and Downloads Search the Drug List for Diamond and Ruby Plans. The following medications will move to non-covered status. It tells you which prescription drugs and over-the-counter (OTC) drugs are covered by UnitedHealthcare Senior Care Options. Our plans offer you additional benefits and services that go above and beyond Original Medicare coverage. Posted on December 26, 2019. Manage appointments, communicate with your doctor, pay bills, renew prescriptions, and view your medical records and lab results with MyUPMC. Quickly and easily search for the medications you need. Generally, if you are taking a drug on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. Medications on the formulary (drug list) that are prescribed by a doctor are paid for by UPMC for You. The Initial Coverage Period is the period after the Deductible has been met but before the Coverage Gap phase. View the comprehensive formulary, which is a complete list of covered drugs, for the appropriate calendar year below. About ID Cards-Information for Pharmacists This page contains information for pharmacists about prescription drug identification cards. Formulary ID Number: 20130, Version 13. Please view the attached charts for more detailed information. For more recent information or other questions, please contact Express Scripts Medicare ® (PDP) Customer Service at 1.800.758.4574; Ask the plan to make an exception . UPMC has released the Your Choice and Advantage Choice formulary changes for January 1, 2020. See cost-sharing for all pharmacies and tiers. This document is called the . HPMS Approved Formulary File Submission ID 20445, Version Number 24 . What’s Covered with UPMC for You. Ask UnitedHealthcare Customer Service for a list. See cost-sharing for all pharmacies and tiers. For more recent information or other questions, please This formulary was updated on 11/24/2020. Effective January 1, 2019Effective January 1, 2020 Total Number of Formulary Drugs: 3,469 drugs: Browse the UPMC for Life Dual (HMO D-SNP) Formulary: This plan has 5 drug tiers. Once you and your plan … A formulary is a list of prescription medications that are covered under Upmc Health Plan, Inc.'s 2020 Medicare Advantage Plan in Pennsylvania. When you get the list, show it to your doctor and ask him or her to prescribe a covered drug. UPMC for Life HMO plans with 0$ Monthly premium. This formulary applies to members of our UnitedHealthcare West HMO medical plans with a pharmacy benefit. Last updated on 1/3/2020 . Browse doctors by specialty, procedure, service, or equipment to find the best fit for you! If you have questions about your coverage options, please contact the applicable customer service unit, as shown below: The HOP Medical Plan, Value Medical Plan or HOP Pre-65 Medical Plans: Contact the HOP Administration Unit 1-800-PSERS25 (1-800-773-7725). Independent Health’s 2020 Drug Formulary I The following information applies to plans offered through large group employers. Check your summary of benefits to ensure this formulary (Drug Formulary I) is associated with the plan offered to you by your employer prior to using your prescription drug benefit. Total Number of Formulary Drugs: 3,534 drugs: Browse the UPMC for Life HMO Rx Choice (HMO) Formulary: This plan has 5 drug tiers. Learn more about pharmacy, dental, vision, and medical coverage and benefits. Levemir will move from tier 2 to tier 3 with a prior authorization requirement and Tresiba will move to non-covered status for Advantage Choice. This means these drugs will remain available at the same cost-sharing and with no new restrictions for those List of Covered Drugs (also known as the Drug List). You can also search for a specific drug by keying in the first few letters of the drug name: 2020 UPHP Advantage & UPHP Choice Formulary (List of Covered Drugs) Our members can count on us for prescription drug coverage. Quantity limits will be added to the following medications. 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN . Generally, if you are taking a drug on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. For more recent information or other questions, please contact Express Scripts Medicare ® (PDP) Customer Service at 1.800.758.4574; Some medications may require a copayment and, depending on your category of aid, limits may apply. This means these drugs will remain available at the same cost-sharing and Prior authorization will be added to the following medication: Step therapy will be added to the following medications: Azelastine 0.15% nasal spray (generic Astepro), Olopatadine nasal spray: Your Choice only. Click on the Notice of Formulary Change section to see a summary of the month-to-month formulary changes including additions and deletions. 2020 . Learn About Pharmacy Coverage. 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