UnitedHealthcare Community Plan
You appear to be browsing this site using Internet Explorer 6. This browser is now out of date. For safer, more reliable browsing it is recommended that you upgrade your browser to Firefox, Safari or Internet Explorer 7 or 8.
Shortcut Navigation:
Please select the state where you practice.

Pharmacy Program

 

Centennial Care - UnitedHealthcare Community Plan

Pharmacy Program


Preferred Drug List (PDL) Search  
Preferred Drug List  (PDF 1.14 MB)

4/1/2017 PDL Update (PDF 63.45 KB)
1/1/2017 PDL Update (PDF 173.18 KB)
10/1/2016 PDL Update (PDF 68.47 KB)
8/1/2016 PDL Update  (PDF 65.17 KB) 

Step Therapy Information

Step Therapy Policy (PDF 21.02 KB)

Quantity Limit Initiatives

Quantity Limit Policy (PDF 20.11 KB)

Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)


UnitedHealthcare Dual Complete® (HMO-POS SNP)
H5008-009


UnitedHealthcare Dual Complete® (Local PPO SNP)
H2228-042


UnitedHealthcare Dual Complete® (Local PPO SNP)
H2228-046