Pharmacy Resources

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

Formulary updates effective Jan. 1, 2026

Formularies

• For UPMC Health Plan members:
  • Your Choice
  • 2025 – Your Choice (PDF)
  • 2026 – Your Choice (PDF)
  • Advantage Choice
  • 2025 – Advantage Choice (PDF)
  • 2026 – Advantage Choice (PDF)
  • Value Choice
  • 2025 – Value Choice (PDF)
  • 2026 – Value Choice (PDF)
  • Open Choice
  • 2025 – Open Choice (PDF)
  • 2026 – Open Choice (PDF)
• For UPMC for You (Medical Assistance) members:
  • UPMC for You – Prescription drug program
  • UPMC for You – Searchable Formulary
  • Pennsylvania Department of Human Services Preferred Drug List (PDL)
• For UPMC for Life (Medicare) members:
  • 2025 UPMC for Life Premier Rx Formulary (PDF)
  • 2025 UPMC for Life Advantage Rx Formulary (PDF)
• For UPMC for Life Complete Care (Medicare Special Needs Plans) members:
  • 2025 UPMC for Life Complete Care Formulary (PDF)
• For UPMC for Kids (CHIP) members:
  • UPMC for Kids – Searchable Formulary
  • UPMC for Kids Formulary Drug List (PDF)
• For UPMC Community HealthChoices members:
  • UPMC Community HealthChoices – Searchable Formulary
  • UPMC Community HealthChoices Non-PDL Formulary Drug List (PDF)
  • Pennsylvania Department of Human Services Preferred Drug List (PDL)

• Rx Prior Authorization Forms

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Tip Sheets

• Asthma Guideline Updates: Focus on SMART/AIR Therapy Tip Sheet
• 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

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To find or select a pharmacy please visit Find Care.