UnitedHealthcare Community Plan
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Preferred Drug List (PDL) Search
Preferred Drugs List  (PDF 876.63 KB)

1/1/2017 PDL Update (PDF 137.74 KB)
10/1/2016 PDL Update (PDF 52.13 KB) 
8/1/2016 PDL Update (PDF 63.65 KB)
5/1/2016 PDL Update (PDF 54.59 KB)

Step Therapy (PDF 21.02 KB)
Quantity Limits (PDF 20.11 KB)

Pharmacy Bulletins

Synagis Enrollment Form  (PDF 511.58 KB) 
Synagis Program  (PDF 58.92 KB)
Synagis Program 5 Doses (PDF 38.09 KB)

Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)