Use antibiotic stewardship to improve antibiotic prescribing in pharyngitis and respiratory issues

Oct. 2024Important Notices

Improving antibiotic prescribing is a priority as antibiotics are still widely overprescribed for conditions where they are not indicated. Beginning or building an antibiotic stewardship program is an effective way to improve health outcomes and reduce costs related to antibiotic resistance. Providers can embrace antibiotic stewardship efforts using these and other best practices:


Read Provider Partner Update (see page 19) for more tips to help strengthen antibiotic stewardship efforts and improve health outcomes.

HEDIS® The Healthcare Electiveness’ Data and Information Set (HEDIS®) is a registered trademark of NCQA.


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 products
Sep. 2025Pharmacy Updates