UnitedHealthcare Community Plan
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UnitedHealthcare Community Plan
QUEST Integration Program

Preferred Drug List (PDL) Search

UnitedHealthcare Community Plan - QUEST Program Preferred Drug List (PDF 1.18 MB)

10/1/2016 PDL Update (PDF 66.23 KB)
5/1/2016 PDL Update (PDF 55.4 KB)
1/1/2016 PDL Update (PDF 128.57 KB)
11/1/2015 PDL Update (PDF 73.81 KB)

Important Step Therapy Information

Step Therapy Policy (PDF 21.02 KB)

Quantity Limit Initiatives
Quantity Limit Policy (PDF 20.1 KB)

Direct Member Reimbursement
Direct Member Reimbursement Form (PDF 194.84 KB)

Pharmacy Bulletins

Synagis Enrollment Form (PDF 511.58 KB) 
Synagis Program (PDF 59.42 KB)
Synagis Program 5 Doses (PDF 51.26 KB)

Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)

UnitedHealthcare Dual Complete® (Local PPO 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