Pharmacy Coverage
Our members can count on us for prescription drug coverage. They get all the same drugs that Medical Assistance covers, plus some over-the-counter drugs and vitamins with a prescription. Some medications may require a copayment and, depending on your category of aid, limits may apply.
Pharmacy Resources for Members
The UPMC for You Pharmacy Formulary (Non-PDL) (Formulario de Farmacia (Lista de Medicamentos No Preferidos PDL) de UPMC for You) is a list of Food and Drug Administration (FDA) approved medications. This list was developed by UPMC for You doctors and pharmacists and includes the most commonly used drugs. Medications on the formulary (drug list) that are prescribed by a doctor are paid for by UPMC for You. The list does not include every medication a doctor might prescribe. The drugs on the formulary have been selected because they are safe, work well, and cost less than other drugs that have the same level of effectiveness. You can also search for covered drugs with our online searchable formulary.
Additional Resources
- UPMC for You Pharmacy Formulary (Non-PDL) - 繁體中文/Mandarin (Chinese)
- UPMC for You Pharmacy Formulary (Non-PDL) - 한국어/Korean
- UPMC for You Pharmacy Formulary (Non-PDL) - ខ្ខ្មែរ/Mon-Khmer (Cambodian)
- UPMC for You Pharmacy Formulary (Non-PDL) - Tiếng Việt/Vietnamese
- UPMC for You Pharmacy Formulary (Non-PDL) - Русский/Russian
- UPMC for You Pharmacy Formulary (Non-PDL) - नेपाली/Nepali
- Su Programa de Medicamentos con Receta 2022
- Pennsylvania Department of Human Services Preferred Drug List (PDL)
- Direct Reimbursement Claim Form
- View minutes from the most recent Pharmacy & Therapeutics Committee meeting
Your managed care plan may not cover all your health care expenses. Read your member handbook carefully to determine which health care services are covered.