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.

Children with Special Health Care Needs

Pharmacy Program 

Preferred Drug List (PDL) Search

Preferred Drug List (PDF 988.77 KB)

1/1/2017 PDL Update (PDF 227.42 KB) 
10/1/2016 PDL Update (PDF 51.69 KB)
8/1/2016 PDL Update  (PDF 66.02 KB)
5/1/2016 PDL Update  (PDF 59.61 KB)
 Step Therapy (PDF 21.03 KB)
Specialty Pharmacy Information

Pharmacy Bulletins

Suboxone PA request FAQs (PDF 290.23 KB)
Synagis Enrollment Form (PDF 511.58 KB)  
Synagis Program (PDF 58.92 KB)  
Synagis Program 5 Doses (PDF 51.26 KB)

Direct Acting Antiviral (DAA) Policy (PDF 111.03 KB)


Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)


UnitedHealthcare Dual Complete® (HMO SNP)
H3113-010


UnitedHealthcare RIte Care

Pharmacy Program 

Preferred Drug List (PDL) Search

Preferred Drug List (PDF 988.77 KB)
PDL Updates (PDF 48.99 KB)
Step Therapy (PDF 21.03 KB)
Specialty Pharmacy Information

 

Pharmacy Bulletins

Suboxone PA request FAQs (PDF 290.23 KB)
Synagis Enrollment Form (PDF 511.58 KB)  
Synagis Program (PDF 58.92 KB) 
Synagis Program 5 Doses (PDF 51.26 KB)


Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)


UnitedHealthcare Rhody Health Partners

Pharmacy Program 

Preferred Drug List (PDL) Search
Preferred Drug List (PDF 988.77 KB)
PDL Updates (PDF 48.99 KB)
Step Therapy (PDF 21.03 KB)
Specialty Pharmacy Information


Pharmacy Bulletins

Suboxone PA request FAQs (PDF 290.23 KB)
Synagis Enrollment Form (PDF 511.58 KB)  
Synagis Program (PDF 58.92 KB) 
Synagis Program 5 Doses (PDF 51.26 KB)


Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)

 


UnitedHealthcare Rhody Health Partners ACA Adult Expansion

Pharmacy Program 

Preferred Drug List (PDL) Search
Preferred Drug List (PDF 988.77 KB)
PDL Updates (PDF 48.99 KB)
Step Therapy (PDF 21.03 KB)
Specialty Pharmacy Information

Pharmacy Bulletins

Suboxone PA request FAQs (PDF 290.23 KB)
Synagis Enrollment Form (PDF 511.58 KB)  
Synagis Program  (PDF 58.92 KB)
Synagis Program 5 Doses (PDF 51.26 KB)


Pharmacy Prior Authorization Forms

Re-Review Reconsideration Request Form (PDF 158.04 KB)