UnitedHealthcare Community Plan
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Florida Healthy Kids

Preferred Drug List (PDL) Search
Preferred Drug List (PDF 1.21 MB)

10/1/2016 PDL Update (PDF 59.83 KB)
8/1/2016 PDL Update (PDF 62.38 KB)
5/1/2016 PDL Update (PDF 57.56 KB)
1/1/2016 PDL Update (PDF 208.84 KB)
 Step Therapy (PDF 21.02 KB)
Quantity Limits (PDF 20.11 KB)


Pharmacy Bulletins

Florida Healthy Kids Synagis Program (PDF 58.67 KB)
Florida Healthy Kids Synagis Enrollment Form (PDF 511.58 KB)
Florida Healthy Kids Synagis Program 5 Doses (PDF 51.26 KB)


Pharmacy Prior Authorization Guidelines

ICD-9 Diagnosis-Drug Match Policy and Diagnosis Code Table (PDF 168.64 KB)

Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)

Medica HealthCare Plans MedicareMax Plus (PSO SNP)

Preferred Medicare Assist (HMOPOS SNP)

UnitedHealthcare Community Plan M*Plus (MMA)

The Preferred Drug List (PDL) is a list of prescription drugs. It is used for the UnitedHealthcare Community Plan and UnitedHealthcare government-paid health plans. Click on the link below to see the PDL.

1/1/2016 PDL Update (PDF 30.6 KB)

Pharmacy Prior Authorization Form

UnitedHealthcare Dual Complete® LP (HMO SNP)

UnitedHealthcare Dual Complete® LP (HMO SNP)

UnitedHealthcare Dual Complete® RP (Regional PPO SNP)

Preferred Drug List (PDL) Search

Download (PDF 1.04 MB) the Acrobat version of the Preferred Drug List (PDL)

Submit a Pharmacy Prior Authorization Request to Prescription Solutions.

Request for Medicare Prescription Drug Determination Request form

UnitedHealthcare Health & Home Connection