UnitedHealthcare Community Plan
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Centennial Care - UnitedHealthcare Community Plan

Pharmacy Program


Preferred Drug List (PDL) Search  
Preferred Drug List  (PDF 605 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)
5/1/2016 PDL Update (PDF 55.44 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