UnitedHealthcare Community Plan
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Pharmacy Program

 

MS CHIP

Pharmacy Program 

 

Preferred Drug List (PDL) Search

The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by the Mississippi Department of Medicaid. Click on the link below to see the PDL.
Preferred Drug List

Transitional Care Override Process (PDF 35.45 KB)

90 Day Maintenance List

Mississippi Prior Authorization Form (PDF 517.56 KB)

 

Pharmacy Bulletins

Synagis Program (PDF 46 KB)

 


MississippiCAN

Pharmacy Program 

 

Preferred Drug List (PDL) Search

The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by the Mississippi Department of Medicaid. Click on the link below to see the PDL.
Preferred Drug List

Transitional Care Override Process (PDF 35.45 KB)

90 Day Maintenance List

Mississippi Prior Authorization Form (PDF 517.56 KB)

 

Pharmacy Bulletins

Synagis Program (PDF 46 KB)


UnitedHealthcare Dual Complete® (HMO SNP)
H5008-011