ESTE PLAN NO ES UN SEGURO, ni pretende ser un sustituto del seguro. Este plan no es un plan de medicamentos recetados de Medicare, ni es un Plan de salud calificado según la Ley de Cuidado de Salud Accesible. Este plan no cumple con los requisitos mínimos de cobertura acreditable según la ley federal o estatal. Al utilizar este plan, usted acepta pagar el costo total de la receta menos el descuento que resulte aplicable. Está obligado a pagar todas las recetas, pero puede recibir un descuento de las farmacias que tienen un contrato con el plan. Los descuentos solo están disponibles en las farmacias participantes. Los ahorros variarán según el medicamento y la farmacia. La organización del plan de medicamentos recetados con descuento puede obtener y retener tarifas o reembolsos de los fabricantes y / o gerentes de beneficios de farmacia en función de sus compras de medicamentos recetados. Puede acceder a una lista de farmacias participantes en: [insertar la dirección web exacta para la lista]. Previa solicitud, el plan pondrá a disposición una lista por escrito de las farmacias participantes. La organización del plan de medicamentos recetados con descuento es HoyHealth, LLC, 54 Tedwall Court Greer, SC 29650. Número de teléfono gratuito: (855) 899-1673. Dirección de correo electrónico: [email protected]
Este plan no está disponible donde lo prohíba la ley. Las farmacias participantes son: Plantilla de plan de medicamentos recetados con descuento Información revelada por el consumidor de múltiples estados Última actualización 5/25/18 63819785.1 sujeto a cambios sin previo aviso y no están disponibles en todas las áreas. Los precios de las farmacias fluctúan con frecuencia y la herramienta de determinación de precios del plan es solo para fines informativos. El plan se rige por los términos y condiciones proporcionados al momento del registro. Las reclamaciones de recetas a través de este plan no serán elegibles para reintegro a través de Medicaid, Medicare u otro programa gubernamental. El plan no garantiza la calidad de los servicios o productos ofrecidos por farmacéuticos individuales.
1Preventive care will be covered at 100 percent only when it is received from a participating provider and it is billed as preventive. A separate cost may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.
2Tier 5 preventive medications on UPMC Health Plan’s Advantage Choice formulary will be covered with no cost share for members who meet certain criteria in accordance with the Patient Protection and Affordable Care Act of 2010.
3Go to www.upmchealthplan.com/BEST for award information.
4Only the virtual visit with the provider will be covered at 100 percent. Prescription drug and other costs related to the visit or recommended by the provider will not be included in the virtual visit coverage and will be your responsibility. If you are enrolled in the UPMC Advantage Silver or Gold HSA $2,900/$0 plans, UPMC AnywhereCare virtual visits will be covered at 100 percent after you meet your deductible. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.
The display and use of drug information on this site is subject to express terms of use. By continuing to view the drug information, you agree to abide by such terms of use.
CVS04640: This medicine is a gel
MJR66980: This medicine is a white, suspension
HUM19310: This medicine is a yellow, oil
HUM20631: This medicine is a green-yellow, oil
HUM20630: This medicine is a green-yellow, oil
HUM20150: This medicine is a colorless, oil
TRG00540: This medicine is a white, oblong, tablet imprinted with "L054".
GNP09900: This medicine is a white, oblong, tablet
TRG00540: This medicine is a white, oblong, film-coated, tablet imprinted with "L054".
WMP01840: This medicine is a pink, clear, raspberry, liquid
TAR20620: This medicine is a white, cream
00206723: This medicine is a colorless, clear, liquid
BAS06050: This medicine is a clear, oblong, capsule
CVS14543: This medicine is a white, oblong, film-coated, tablet imprinted with "L544".
GRN00200: This medicine is a white, oblong, tablet imprinted with "G650".
A00102Z: This medicine is a white, oblong, tablet imprinted with "cor 116".
CVS14543: This medicine is a white, oblong, film-coated, tablet imprinted with "L544".
MIP08112: This medicine is a ointment
MIP08111: This medicine is a cream
BIR32500: This medicine is a white, round, pad
CBR05570: This medicine is a yellow, oblong, scored, film-coated, tablet imprinted with "H" and "13 9".
AUR00730: This medicine is a yellow, oblong, scored, coated, tablet imprinted with "D 88".
MYN41050: This medicine is a peach, oblong, scored, film-coated, tablet imprinted with "M 120".
CBR05620: This medicine is a yellowish, clear, strawberry-banana, solution
CIP05140: This medicine is a yellow, oblong, scored, film-coated, tablet imprinted with "5 14".
ATX35830: This medicine is a yellow, oblong, scored, film-coated, tablet imprinted with "APO" and "AB 300".
STR07170: This medicine is a dark yellow, oblong, scored, film-coated, tablet imprinted with "AB".
GSK07420: This medicine is a orange, oblong, film-coated, tablet imprinted with "GS FC2".
CIP03620: This medicine is a orange, oblong, film-coated, tablet imprinted with "C".
TEV53820: This medicine is a yellow, oblong, film-coated, tablet imprinted with "5382" and "TV".
AUR09000: This medicine is a white, oval, film-coated, tablet imprinted with "Y" and "98".
LUP02880: This medicine is a orange, oval, film-coated, tablet imprinted with "LU" and "C51".
LUP02860: This medicine is a blue-green, oval, film-coated, tablet imprinted with "LU" and "N51".
OTS0008Z: This medicine is a pink, rectangular, tablet imprinted with "A-008 10".
BMS00070: This medicine is a blue, rectangular, tablet imprinted with "A-007 5".
OTA00060: This medicine is a green, rectangular, tablet imprinted with "A-006 2".
OTS0011Z: This medicine is a pink, round, tablet imprinted with "A-011 30".
BMS00100: This medicine is a white, round, tablet imprinted with "A-010 20".
OTS0009Z: This medicine is a yellow, round, tablet imprinted with "A-009 15".
OTA00190: This medicine is a milky white, vial
OTS00191: This medicine is a milky white, vial
OTS00181: This medicine is a milky white, vial
OTA00450: This medicine is a milky white, syringe
OTS00190: This medicine is a milky white, vial
OTS00180: This medicine is a milky white, vial
OTA00720: This medicine is a milky white, syringe
CUI05660: This medicine is a white, oval, tablet imprinted with "121".
NVD00300: This medicine is a white, oval, tablet imprinted with "ABR" and "250".
AMN11650: This medicine is a white, oval, tablet imprinted with "AN65".
ATX43270: This medicine is a white, oval, tablet imprinted with "A250" and "APO".
AMN17540: This medicine is a purple, oval, film-coated, tablet imprinted with "1754".
WWW95970: This medicine is a white, oval, tablet imprinted with "WW597".
TEV11250: This medicine is a white, oval, film-coated, tablet imprinted with "TEVA" and "1125".
CNT01500: This medicine is a white, oval, tablet imprinted with "AA250".
00205226: This medicine is a white, oval, tablet imprinted with "A" and "250".
BPI01050: This medicine is a colorless, clear, solution
BPI01051: This medicine is a colorless, clear, solution
00205853: This medicine is a white, vial
GSK08011: This medicine is a white, cream
00206059: This medicine is a white, cream
GSK08010: This medicine is a white, cream
PUR01180: This medicine is a red brown, oblong, capsule imprinted with "G 325" and "40".
PUR01170: This medicine is a brown, oblong, capsule imprinted with "G 242" and "30".
PUR01330: This medicine is a green, oblong, capsule imprinted with "G 342" and "25".
PUR01160: This medicine is a red, oblong, capsule imprinted with "G 241" and "20".
PUR01150: This medicine is a dark yellow, oblong, capsule imprinted with "G 240" and "10".
SUN00021: This medicine is a light green, oblong, capsule imprinted with "RL 29" and "RL 29".
SUN00071: This medicine is a caramel, oblong, capsule imprinted with "RL 32" and "RL 32".
SUN00031: This medicine is a dark blue, oblong, capsule imprinted with "RL 30" and "RL 30".
ALK10010: This medicine is a brown, clear, vial
GLN04350: This medicine is a white, round, enteric-coated, tablet imprinted with "435".
ZYD05690: This medicine is a white, round, enteric-coated, tablet imprinted with "569".
TEV53520: This medicine is a white, round, enteric-coated, tablet imprinted with "77" and "1140".
MYN63330: This medicine is a white, round, enteric-coated, tablet imprinted with "M AC".
VAL01320: This medicine is a white, gel
ROX01420: This medicine is a white, round, tablet imprinted with "54 251".
ROX01410: This medicine is a white, round, tablet imprinted with "54 737".
ROX01400: This medicine is a white, round, tablet imprinted with "54 311".
HER01470: This medicine is a white, round, tablet imprinted with "HP" and "147".
VTS01220: This medicine is a white, round, tablet imprinted with "320" and "cor".
VTS01210: This medicine is a white, round, tablet imprinted with "319" and "cor".
VTS01200: This medicine is a white, round, tablet imprinted with "318" and "cor".
LIP02120: This medicine is a white, round, tablet imprinted with "P212" and "100".
LIP02110: This medicine is a white, round, tablet imprinted with "P211" and "50".
HER01490: This medicine is a white, round, tablet imprinted with "HP 149".
HER01480: This medicine is a white, round, tablet imprinted with "HP 148".
LIP02100: This medicine is a white, round, tablet imprinted with "P210" and "25".
00205136: This medicine is a white, round, film-coated, tablet imprinted with "P" and "10".
PAR05540: This medicine is a white, round, film-coated, tablet imprinted with "P" and "20".
P_D05300: This medicine is a brown, triangular, film-coated, tablet imprinted with "PD 530" and "10".
P_D05350: This medicine is a brown, elliptical, film-coated, tablet imprinted with "PD 535" and "40".
P_D05270: This medicine is a brown, elliptical, scored, film-coated, tablet imprinted with "PD 527" and "5".
P_D05320: This medicine is a brown, round, film-coated, tablet imprinted with "PD 532" and "20".
PKD02220: This medicine is a pink, elliptical, scored, film-coated, tablet imprinted with "PD 222".
PKD02200: This medicine is a pink, triangular, scored, film-coated, tablet imprinted with "PD 220".
PKD02230: This medicine is a pink, round, film-coated, tablet imprinted with "PD 223".
DRR01370: This medicine is a green, elliptical, capsule imprinted with "R137".
DRR01130: This medicine is a red-brown, elliptical, capsule imprinted with "RI".
DRR01360: This medicine is a pink, elliptical, capsule imprinted with "R136".
AMN06700: This medicine is a bright orange lavender, oblong, capsule imprinted with "AMNEAL" and "670".
IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.
Consult your pharmacist.
Consult your pharmacist.
Consult your pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Consult your pharmacist.
Consult your pharmacist.Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
No monograph available at this time.
Consult your pharmacist.
Consult your pharmacist.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Information last revised July 2016. Copyright(c) 2022 First Databank, Inc.
From
Last reviewed on RxList: 08/31/2022