UPMC Health Plan medical drug coverage updates

Jan. 2025Important Notices

UPMC Health Plan initiated changes to certain medical drug coverage policies for all lines of business on Jan. 1, 2025. Please visit upmchp.us/pharm-services-medical for more information. If you have questions about the changes, call Provider Services at 1-866-918-1595. Thank you for your continued support and for the great care you provide our members.


Recent Announcements

Clinical workflow changes through Epic®

Changes are coming for network providers that utilize Provider OnLine to submit specific information to UPMC Health Plan. Select activities that were previously completed in Provider OnLine will now transition to UPMC Health Plan Tapestry Link.
Oct. 2026Important Notices

Provider Directory Updates and Required Attestation

As you know, UPMC Health Plan requires all providers to verify their provider directory information at least every 90 days (quarterly).
Oct. 2026Important Notices

CME Webinar: Oral Care—An Important Infection Prevention Tool

Oral healthcare is a routine part of patient care, yet nurses and physicians may not always recognize the risks associated with inadequate oral care. Please join us for a live educational session on Tuesday, Dec. 8, that will help providers understand the importance of oral care and how appropriate practices can help reduce healthcare-associated infections, readmissions, and lengthy hospital stays.
Oct. 2026Education/Webinars