Formulary Information

Pharmacy Formulary
The Upper Peninsula Health Plan’s (UPHP) formularies are lists of medications that are recommended for use. Note: Effective 6/1/2016, UPHP’s formulary is aligned with the MCO Common Formulary. For further information, click here.

Click on the appropriate formulary link below and key in the first few letters of the drug name (note: clicking these links will take you away from the UPHP website).

UPHP is collaborating with Magellan Rx Management, a specialty pharmaceutical management company to administer the prior authorizations of our Medical Pharmacy Program. Magellan Rx will conduct medical necessity and appropriateness reviews for specific medical billing medications.


Page Last Updated: 07/25/2018