List of Covered Select Part B Drugs and Supplies The chart below lists select Part B drugs and supplies that are covered by UPMC for Life. We generally cover the drugs and supplies listed as long as they are medically necessary. You must fill these drugs at a network pharmacy or supply provider and follow other plan rules as listed in the Evidence of Coverage for your plan. This document only includes covered Part B drugs and supplies. For a listing of Part D prescription drugs covered by UPMC for Life HMO and PPO plans, please click here. For a listing of Part D prescription drugs covered by UPMC for Life Dual, please click here. For a listing of Part D prescription drugs covered by UPMC for Life Options, please click here. If you have questions or need help finding a covered drug or supply, please call Member Services. You can call us at 1-877-539-3080 seven days a week from 8 a.m. to 8 p.m. * TTY users should call 1-800-361-2629. Select Part B Drugs and Supplies Covered by Your Plan Drug or Supply Name Generic Requirements/Limits Euflexxa sodium hyaluronate PA Lifescan blood glucose meters various Lifescan diabetic test strips various The above chart does not include all of the Part B drugs or supplies we cover. * Our hours of operation change twice a year. You can call us October 1 through February 14, seven days a week from 8 a.m. to 8 p.m. From February 15 through September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m., and Saturday from 8 a.m. to 3 p.m. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits may change on January 1 of each year. The formulary and/or pharmacy network may change at any time. You will receive notice when necessary. Y0069_16_1230 Accepted