August 2026 UPMC for You and UPMC Community HealthChoices Formulary Updates

Jul. 2026Pharmacy Updates

Effective Aug. 15, 2026, UPMC for You and UPMC Community HealthChoices are updating their formularies.

 

The following drugs and products will be changing to nonpreferred status:

  • Belladonna Opium Suppository
  • Cevimeline Capsule
  • Cyclomydril Eye Drops
  • Dicyclomine Oral Solution
  • Klor-con M15 Tablet
  • Potassium CL ER 15 MEQ Tablet
  • Sodium Sulfate – Potassium Sulfate – Magnesium Sulfate Solution (Generic Suprep)
  • All pen needles except for the following: Techlite Pen Needle, Techlite Plus Pen Needle, Assure ID Pen Needle, Assure ID Pro Pen Needle, Assure ID Duo Pen Needle, Trueplus Pen Needle
  • All lancets except for the following: Trueplus Safety 28 G Lancet, Accu-Chek Softclix Lancet, Trueplus Ultra Thin 30 G Lancet, Trueplus Super Thin 28 G Lancet, Trueplus 33 G lancet, Thin Lancet and Ultra Thin Lancet (manufactured by Trividia)

 

Nonpreferred drugs/products require prior authorization. Preferred alternatives may be available, depending on health needs. 

Recent Announcements

Voluntary nationwide recall: Cetirizine (Unique – July)

Unique Pharmaceutical Laboratories (A Div. of J. B. Chemicals & Pharmaceuticals Ltd.) is recalling four lots (GY825029, GY825030, GY825031, GY825032) of Cetirizine Hydrochloride Tablets USP 5 mg. Cetirizine is used for the relief of allergy symptoms, including itchy, red, watery eyes and itchy skin.
Jul. 2026Pharmacy Updates

Give feedback on your experience with UPMC Health Plan

 You may be invited to participate in a 2026 Press Ganey provider satisfaction survey, which will begin next month. This survey will be given to a random sampling of in-network primary care providers.
Jul. 2026Important Notices

Prescription for Wellness - Leveraging Insurance Carrier Resources to Optimize Patient Engagement Outcomes!

Prescription for Wellness is a nationally recognized, Six Sigma-developed best practice system that provides a convenient and effective way for providers to prescribe resources and support offered by UPMC Health Plan to their patients who are UPMC Health Plan members.
Jul. 2026Education/Webinars