UnitedHealthcare Community Plan
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Pharmacy Program

 

Preferred Drug List (PDL) and Updates 

Important Pharmacy Communication - February 2015 (PDF 396.53 KB)

Preferred Drug List (PDL) Search

 

Prior Authorization and Medical Exception Forms

Prior Authorization Request Form - Urgent (PDF 85.47 KB)

 

Pharmacy Prior Authorization Forms

 

Maximum Allowable Cost (MAC) Price Lookup and Appeals

Delaware MAC Price Lookup

MAC Appeal Submission Guide