Upper Peninsula Health Plan
 
 
 
 
FREE electronic prescribing…
for every physician in America.
 

UPPER PENINSULA HEALTH PLAN
   
 

PHARMACY

 
 
   
   





   





















 
  • UPHP Restricted Drug Classes  
         (Effective July 1, 2010.)
    		•
  • Summary of Changes
         (Effective July 1, 2010.)
    		•
  • UPHP Drug Formulary
         (Currently being revised.)
    		•
  • 60/40 Carve out medications
         (Effective April 2010.)
    		•
  • Advair-to-Symbicort Therapeutic Interchange
    		•
  • Beneficiary Carve Out Letter
        (Effective April 2010.)
    		•
  • Contraceptive Coverage  
            (Revised August 2009.)
    		•
  • Electronic Prescribing
    		•
  • Epocrates®
        (Effective October 2006.  Revised September 2008.)
    		•
  • Glucose-Meter Characteristics
         (Effective July 2010.)
    		•
  • Narcotic Pain Medications on the UPHP Formulary
    		•
  • Statin Cost Comparisons (Chart)
    		•
     
     
    CATALYST Rx / Effective July 1, 2010
  • Request for Prior Authorization (Form)
         (Print Only)
    		•
  • Request for Prior Authorization (Form)
         (Download or save the form; then complete and print.)
    		•

     

     

    Policies
  • Pharmacy Management
    		•
  • Pharmacy Prior-Authorization Process
    		•
  • Pharmaceutical Safety
    		•
  • Prescription Restrictions
    		•

    Providers and Prescribers

    For information about Upper Peninsula Health Plan pharmacy services not specified on the forms listed above, call Catalyst Rx at 1-877-464-0084.

    Pharmacist Claim System

    For claim inquiries and support, call Catalyst Rx at 1-877-464-0084.

    UPHP Members

    For information about UPHP pharmacy services, call UPHP Customer Service at 1-800-835-2556.

     

     

    Upper Peninsula Health Plan
    Wins National Pharmacy-Benefit Award

     

     


    The Upper Peninsula Health Plan won a national
    2008 Rx Benefit Innovation Award
    for its role in implementing a regional, cooperative,
    drug-management system.

     

    For more information, click here:   

     

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    All rights reserved.

    Upper Peninsula Health Plan - 228 W. Washington Street - Marquette, MI 49855

    1-800-835-2556 or  906-225-7500

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