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Cisplatin - Cisplatin injection
UPMC Health Plan
UPMC Health Plan Coverage for Cisplatin - Cisplatin injection
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All
9
Commercial
4
Health Exchange
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Other Insurer
PA Required
No Step Therapy
No Quantity Limit
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Commercial - Employer
PA Required
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Cisplatin - Cisplatin injection
Check medication interactions
Screen for drug-drug and drug-condition conflicts.
Does UPMC Health Plan Cover Cisplatin? 9 Plans (2026)