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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.

 

Maximum Allowable Cost (MAC) Price Lookup and Appeals

Delaware MAC Price Lookup

MAC Appeal Submission Guide