UnitedHealthcare Community Plan
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NJ FamilyCare

Preferred Drug List (PDL) Search

Preferred Drug List (PDF 990.38 KB)

10/1/2016 PDL Update (PDF 69.78 KB)
8/1/2016 PDL Update  (PDF 66.77 KB)
5/1/2016 PDL Update (PDF 61.36 KB)
1/1/2016 PDL Update (PDF 57.73 KB) 
Step Therapy (PDF 21.03 KB)

Pharmacy Bulletins


Synagis Enrollment Form (PDF 113.79 KB)  
Synagis Program 
(PDF 53.22 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® ONE (HMO SNP)



Managed Long Term Services and Supports (MLTSS)

Preferred Drug List (PDL) Search
Preferred Drug List  (PDF 935.57 KB)
Step Therapy (PDF 21.03 KB)

Pharmacy Bulletins


Synagis Enrollment Form (PDF 113.79 KB)  
Synagis Program 
(PDF 53.22 KB)
Synagis Program 5 Doses (PDF 51.26 KB)


Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)