Medicare Prescription Coverage

Prescription Drug Formularies

A formulary is a list of covered drugs for your plan. The name of the formulary and the plans that use it are important for you to know when reviewing your prescription drug coverage. Drug coverage is different between these formularies, so its good to make sure you review the formulary for your plan in detail.

Here are two easy ways to make sure your medications are covered:

Search covered drugs (search our drug list by the name of the drug you are taking).
Download a formulary (download the formulary for your plan using the drop down above).

Prior authorization requirements

Some of the drugs that UPMC for Life covers may require you and your doctor to get prior approval. Select your plan to see a list of which drugs require prior authorization.

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Step therapy requirements

In some cases, you may need to first try certain drugs to treat a medical problem before we will cover another drug. Select your plan below to see which drugs require step therapy.