COVID-19 vaccine booster updates
May 2022Important Notices
"The U.S. Food and Drug Administration authorized a second booster dose of either the Pfizer-BioNTech or the Moderna COVID-19 vaccines for adults age 50 and older and individuals age 12 and over who are moderately to severely immunocompromised.
The agency amended the emergency use authorizations as follows1:
For the most recent guidance on who can receive a booster shot, as well as specific recommendations for those who are moderately to severely immunocompromised, visit the CDC and FDA websites.
UPMC Health Plan is committed to ensuring that every eligible member has access to COVID-19 vaccines and resources to answer their questions about the COVID-19 vaccines. Health Plan members can find answers on our COVID-19 FAQ page—whether they are now eligible for boosters considering their first dose.
UPMC offers online scheduling for the COVID-19 vaccines; UPMC Health Plan members can also schedule by calling a Health Care Concierge at the number on the back of their ID card.
For the most recent COVID-19 policy and billing updates from UPMC Health Plan, please see these resources:
5/2022 Recall: Accupril Tablets
Pfizer is recalling batches of Accupril tablets (Quinapril HCl – 10 mg, 20 mg, and 40 mg) due to the presence of a nitrosamine, Nnitrosoquinapril, that was observed in recent testing at levels above the Acceptable Daily Intake (ADI) level. Read the full text of the Accupril Tablets recall."
The agency amended the emergency use authorizations as follows1:
- A second booster dose of the Pfizer-BioNTech COVID-19 Vaccine or Moderna COVID-19 Vaccine may be administered to individuals 50 years of age and older at least four months after receipt of a first booster dose of any authorized or approved COVID-19 vaccine.
- A second booster dose of the Pfizer-BioNTech COVID-19 Vaccine or Moderna COVID-19 Vaccine may be administered to individuals who are moderately to severely immunocompromised at least four months after receipt of a first booster dose of any authorized or approved COVID-19 vaccine. The Pfizer-BioNTech COVID-19 Vaccine may be in administered to individuals 12 years of age and older and the Moderna COVID-19 Vaccine may be administered to individuals 18 years of age and older.
- A second booster dose of either the Pfizer-BioNTech or the Moderna COVID-19 vaccines may be administered at least four months after the first booster to individuals who have received one primary dose of the Johnson & Johnson/Janssen Vaccine with one subsequent booster of any COVID-19 vaccine.
For the most recent guidance on who can receive a booster shot, as well as specific recommendations for those who are moderately to severely immunocompromised, visit the CDC and FDA websites.
UPMC Health Plan is committed to ensuring that every eligible member has access to COVID-19 vaccines and resources to answer their questions about the COVID-19 vaccines. Health Plan members can find answers on our COVID-19 FAQ page—whether they are now eligible for boosters considering their first dose.
UPMC offers online scheduling for the COVID-19 vaccines; UPMC Health Plan members can also schedule by calling a Health Care Concierge at the number on the back of their ID card.
For the most recent COVID-19 policy and billing updates from UPMC Health Plan, please see these resources:
Recent Announcements
Important announcement – Telehealth submissions
As of October 1, 2025, UPMC Health Plan continues to accept the submission of telehealth claims. Providers may conduct telehealth visits for UPMC Health Plan members in all UPMC Insurance products. UPMC Insurance products include UPMC Advantage group and individual products, UPMC for Life Medicare Advantage plans, UPMC for Kids CHIP plans, UPMC Community HealthChoices, and UPMC for You Medical Assistance plans.Sep. 2025Important Notices
October 2025 UPMC for You and UPMC Community HealthChoices Formulary Update
Effective October 1st, 2025, Xifaxan and Retin-A (cream, gel) will no longer be covered by UPMC for You and UPMC Community HealthChoices due to non-participation in the Medicaid Drug Rebate Program.Sep. 2025Pharmacy Updates
Biosimilar Medication Formulary Updates
Updates to formulary biosimilar medications for denosumab, eculizumab, and ustekinumab productsSep. 2025Pharmacy Updates