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  • Reclast is not included in this formulary. Member pays full cost.
  • Notice: Reclast has a quantity limit. (QL)

A generic drug may be available.

A drug with the same active ingredients is covered. Your pharmacist may automatically substitute your prescription for Reclast with the drug listed below. Talk with your pharmacist.

Generic DrugDrug FormCoveredTypeYour Cost*Notices?
Zoledronic Acid-Mannitol-WaterZoledronic Acid In Mannitol And Water Intravenous PiggybackYesGeneric$$$$Yes

Alternative Drug Information
 


1Preventive care will be covered at 100 percent only when it is received from a participating provider and it is billed as preventive. A separate cost may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.

2Preventive medications on UPMC Health Plan's Advantage Choice formulary will be covered with no cost share for members who meet certain criteria in accordance with the Patient Protection and Affordable Care Act of 2010.

3Go to www.upmchealthplan.com/BEST for award information.

4Only the virtual visit with the provider will be covered at 100 percent. Prescription 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 HSA $4,000/$0, UPMC Advantage Gold HSA $2,500/10%, or UPMC Advantage Catastrophic $9,450/$0 plan, UPMC AnywhereCare virtual visits will be covered at 100 percent after you meet your deductible. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.