UnitedHealthcare Community Plan
You appear to be browsing this site using Internet Explorer 6. This browser is now out of date. For safer, more reliable browsing it is recommended that you upgrade your browser to Firefox, Safari or Internet Explorer 7 or 8.
Shortcut Navigation:
Please select the state where you practice.

Pharmacy Program

 

Preferred Drug List and Updates 

The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by UnitedHealthcare Community Plan of Delaware. Click on the link below to view the Preferred Drug List.

Prescription Drug Processing Changes (PDF 396.53 KB) - 02.2015

Preferred Drug List (PDL) Search

 

Prior Authorization and Medical Exception Forms

Prior Authorization Request Form - Urgent (PDF 85.47 KB)

 

Pharmacy Prior Authorization Forms

Prior authorization is required for some services and medications. A current list of prior authorization services, medications and forms can be found below.

Prior Authorization Forms

Click on the arrow above to view the pharmacy prior authorization forms.

 

Maximum Allowable Cost (MAC) Price Lookup and Appeals

Delaware MAC Price Lookup

MAC Appeal Submission Guide