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UnitedHealthcare Dual Complete™ (HMO SNP)
This Preferred Drug List (PDL) is a compilation of medications in various therapeutic classes for use in administering the prescription drug benefits of enrollees in UnitedHealthcare Community Plan and UnitedHealthcare government-funded health plans. These include Medicaid, State Children’s Health Insurance Programs (SCHIP) and various programs for the uninsured for which the prescription drug benefit is covered in whole or in part by UnitedHealthcare Community Plan and UnitedHealthcare.
Search for drugs covered by UnitedHealthcare Dual Complete™ (HMO SNP)
Download the UnitedHealthcare Dual Complete™ (HMO SNP) Prescription Drug List (PDF 2.69 MB)
Download the UnitedHealthcare Dual Complete™ (HMO SNP) Prescription Drug List (Español) (PDF 2.69 MB)
Pharmacy Prior Authorization Request
Click here to submit a Pharmacy Prior Authorization Request to Prescription Solutions.
Appeal a Coverage Decision
If we make a coverage decision and you are not satisfied with this decision, you can "appeal" the decision. An appeal is a formal way of asking us to review and change a coverage decision we have made.
Click here to send an email with your appeal request.
Click here to find and download the Evidence of Coverage for this plan and review the grievance and appeals section.
Or you may download our Drug Coverage Determination Request Form (PDF 36.94 KB), fill it out and mail it to us.
Prescription Drug Transition Process
Medication Therapy Management Program