What are the criteria for a member to be eligible for the medication management program?
A UPMC for Life member must meet the following criteria to be eligible for UPMC for Life’s medication therapy management program. • The UPMC for Life member must have 4 of the following 9 chronic diseases: AIDS/HIV, dyslipidemia, Alzheimer’s, dementia, multiple sclerosis, osteoporosis, chronic pain, diabetes, lung disease, or chronic heart disease. • The UPMC for Life member must have filled 9 chronic/maintenance Part D covered drugs in a three-month period. • The UPMC for Life member is likely to incur annual costs that meet or exceed $4,000 for all covered Part D drugs. (UPMC estimates members who will have an annual drug cost of at least $4,000 by selecting members whose drug costs equal or exceed $1,000 in a three-month period) Please note: This program is not considered a benefit. For more information regarding UPMC for Life’s medication therapy management program, please call our Member Services Department at 1-877-539-3080 between 8 a.m. and 8 p.m., seven days a week (TTY: 1-800
