Sign In
Coverage
Check coverage
Home
Egrifta SV
UPMC Health Plan
UPMC Health Plan Coverage for Egrifta SV
All
9
Commercial
4
Health Exchange
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Other Insurer
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Egrifta SV
Check medication interactions
Find savings
Get prior authorization forms
Get patient education materials