All UPMC Health Plan's pharmacy-related information is located in this section. Here you will find links to the pharmacy directory, program benefit guides, pharmacy announcements, prior authorization forms, and pharmacy formularies.
- For UPMC Health Plan members:
- UPMC for You (Medical Assistance) members
- UPMC for Life, UPMC for Life Specialty Plan (Medicare and Special Needs) members (PDF)
- UPMC for Kids (CHIP) members
New Generic Drug Opportunities
Intelligent Formulary Design
We understand that innovation creates the bedrock for health care solutions. That's why we embrace innovation in providing our members with the best health care from the region's premier physicians. This approach is evident in the decisions we make regarding newly introduced drugs. A team of medical and pharmacy experts reviews every new drug and makes independent, objective coverage decisions. This sound approach ensures our members will get the best possible health care coverage. Learn more...
Ordering Specialty Medications for Your Patients
For CuraScript: Fax a completed CuraScript enrollment form, the patient's prescription, and a completed prior authorization form (if applicable) to the number located on the enrollment form.
For Chartwell: fax a completed Chartwell enrollment form, the patient’s prescription, and a completed prior authorization form (if applicable) to 412-920-1869.
For Falk Pharmacy: If you are a UPMC-owned physician practice and wish to use Falk Clinic fax a completed Falk Clinic enrollment form, the patient’s prescription, and a completed prior authorization form (if applicable) to the number on the form.