Pharmacy Resources

Quickly access UPMC Health Plan's pharmacy-related information here. You’ll find links to formularies, program benefit guides, announcements, and more.

Formularies

• For UPMC Health Plan members:
  • Your Choice
  • 2024 – Your Choice (PDF)
  • 2025 – Your Choice (PDF)
  • Advantage Choice
  • 2024 – Advantage Choice (PDF)
  • 2025 – Advantage Choice (PDF)
  • Value Choice
  • 2024 – Value Choice (PDF)
  • Open Choice
  • 2024 – Open Choice (PDF)
• For UPMC for You (Medical Assistance) members:
  • UPMC for You – Drug Listing
  • UPMC for You Non-PDL Formulary Drug List (PDF)
  • Formulario de Farmacia (Lista de Medicamentos No Preferidos PDL) de UPMC for You
  • Pennsylvania Department of Human Services Preferred Drug List (PDL)
• For UPMC for Life (Medicare) members:
  • 2024 UPMC for Life Premier Rx Formulary (PDF)
  • 2025 UPMC for Life Premier Rx Formulary (PDF)
  • 2024 UPMC for Life Advantage Rx Formulary (PDF)
  • 2025 UPMC for Life Advantage Rx Formulary (PDF)
• For UPMC for Life Complete Care (Medicare Special Needs Plans) members:
  • 2024 UPMC for Life Complete Care Formulary (PDF)
  • 2025 UPMC for Life Complete Care Formulary (PDF)
• For UPMC for Kids (CHIP) members:
  • UPMC for Kids – Drug Listing
  • UPMC for Kids Formulary Drug List (PDF)
• For UPMC Community HealthChoices members:
  • UPMC Community HealthChoices – Drug Listing
  • UPMC Community HealthChoices Non-PDL Formulary Drug List (PDF)
  • Pennsylvania Department of Human Services Preferred Drug List (PDL)

• Rx Prior Authorization Forms

Tip Sheets

• HEDIS – Asthma Medication Ratio (AMR) Tip Sheet
• Heart Failure: Directed Medication Therapy – ARNi and SGLT2i
• Opioid Resources and Fact Sheet
• Poly-ACH Provider Pocket Card
• Prescribing a Statin to Your Patients Tip Sheet
• HRM Display Measure Tip Sheet

To find or select a pharmacy please visit Find Care.