UnitedHealthcare Community Plan
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Pharmacy Program


Healthy Michigan Plan

UnitedHealthcare Community Plan

Pharmacy Program 

Preferred Drug List (PDL) Search

Managed Care Common Formulary

Michigan Prior Authorization Request Form for Prescription Drugs  (PDF 179.55 KB)

Pharmacy Bulletins

Synagis Enrollment Form (PDF 511.58 KB) 
Synagis Program (PDF 58.92 KB)


Pharmacy Prior Authorization Forms