Download a Formulary

These formularies list medications covered by UPMC Health Plan. Check the formulary for your coverage plan by locating your health insurance in the left column and selecting your specific benefit program from the right column. You can view or download a PDF of each formulary.

Select your coverage type	Select your pharmacy benefit
My employer provides my health insurance	Your Choice Advantage Choice Value Choice Open Choice
I buy my own health insurance	Advantage Choice Value Choice
Medicare provides my health insurance	HMO Premier Rx PPO Premier Rx HMO Deductible Rx PPO High Deductible Rx PPO Rx Choice HMO Rx Choice HMO Rx PPO Rx Enhanced HMO Rx Enhanced
My school provides my health insurance	Advantage Choice
A Medicare Special Needs Program (SNP) provides my health insurance	UPMC for Life Complete Care (HMO SNP)
Medicaid provides my health insurance	Medical Assistance Coverage - UPMC for You
CHIP provides my child's health insurance	Children’s Health Insurance Plan - UPMC for Kids
Community HealthChoices provides my health insurance	UPMC Community HealthChoices Non-PDL Formulary Drug List

Select your coverage type

Select your pharmacy benefit

My employer provides my health insurance