Benefily
No prior authorization

Does Upmc Health Plan, INC. require prior authorization for Ibu?

Upmc Health Plan, INC. does not require prior authorization for Ibu on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
ibuprofen 600 MG Oral Tablet [Ibu]20691317 / 17000No prior authorization
ibuprofen 800 MG Oral Tablet [Ibu]20691717 / 17000No prior authorization

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — ibuprofen 600 MG Oral Tablet [Ibu]

Ibu has 2 products in the corpus; this table is for ibuprofen 600 MG Oral Tablet [Ibu], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
UPMC for Life HMO Deductible Rx (HMO)H3907-0372NoNoNo
UPMC for Life HMO Premier Rx (HMO)H3907-0592NoNoNo
UPMC for Life HMO Premier Rx (HMO)H3907-0592NoNoNo
UPMC for Life HMO Premier Rx (HMO)H3907-0592NoNoNo
UPMC for Life HMO Premier Rx (HMO)H3907-0592NoNoNo
UPMC for Life HMO Premier Rx (HMO)H3907-0592NoNoNo
UPMC for Life HMO Rx (HMO)H3907-0582NoNoNo
UPMC for Life HMO Rx (HMO)H3907-0582NoNoNo
UPMC for Life HMO Rx (HMO)H3907-0582NoNoNo
UPMC for Life HMO Rx Choice (HMO)H3907-0572NoNoNo
UPMC for Life HMO Rx Choice (HMO)H3907-0572NoNoNo
UPMC for Life HMO Rx Choice (HMO)H3907-0572NoNoNo
UPMC for Life HMO Rx Choice (HMO)H3907-0572NoNoNo
UPMC for Life HMO Rx Choice (HMO)H3907-0572NoNoNo
UPMC for Life HMO Rx Choice (HMO)H3907-0572NoNoNo
UPMC for Life HMO Rx Choice (HMO)H3907-0572NoNoNo
UPMC for Life HMO Rx Enhanced (HMO)H3907-0062NoNoNo
Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Ibu at other payers

Or see Ibu across every payer at once.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.