WebA Prescription Drug List (PDL) – also called a formulary – is a list of commonly used medications, organized into cost levels, called tiers. These costs are decided by your employer or health plan. Skip to main content Insurance … WebPEHP Covered Drug List. The Covered Drug List is a listing of prescription medications that provide the best overall value based on quality, safety, effectiveness, and cost. Your …

Formulary - UPHP

WebYes. See www.pehp.org or call 1-800-765-7347 for a list of network providers. This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the WebIEHP Welcome to Inland Empire Health Plan performed by producers

Weber State University

WebThe exception request can be initiated by calling our Member Services department at (850) 383-3311 or toll-free at 850-518-6679, Monday through Friday from 8:00 am through 5:00 pm. The TDD number for the hearing impaired is (850) 383-3534. After hours or on a weekend, you can call (850) 383-3333 or toll-free (800) 390-1434. WebDec 1, 2024 · Formulary Upper Peninsula Health Plan (UPHP) has a List of Cover Drugs (Formulary). We call it the “Drug List” for short. It tells which Part D prescription drugs are covered by our plan. The drugs on this list are selected by the plan with the help of a team of doctors and pharmacists. The list must meet requirements set by Medicare. WebEHIM Non-Preferred Medication Formulary Non-Preferred ($80.00 Copay) Formulary Alternatives ($20.00 Generic or $40.00 Brand) ACANYA Clindamycin ACIPHEX Prilosec OTC, Prilosec(g), Protonix(g), Prevacid(g) ACTOPLUS MET Glucophage(g) plus Actos ACUVAIL Acular (g), Voltaren (g) ACZONE clindamycin, erythromycin ADCIRCA Revatio ADOXA CK, … performed on hands and knees in yoga