UPMC Health Plan Coverage for Xeljanz
8 Plans
8 Plans
Managed Medicaid - HMO - Medicaid
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Medicare - MA-PD
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Medicare - PDP
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - HMO
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - PPO
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - Other Insurer
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - Employer
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Alternative Drug Suggestions