Please select the state where you practice.

Pharmacy Program

 

icon-checklist-grey

Looking for Paper Pharmacy Prior Authorization Fax Forms? They are now available at UHCprovider.com 

 

Opioid Program and Resources

In response to the U.S. opioid epidemic, UnitedHealthcare has developed programs to help our members receive the care and treatment they need safely and effectively.

We’ve also established measures based on the Centers for Disease Control and Prevention’s (CDC) opioid treatment guidelines to help prevent overuse of short-acting and long-acting opioid medications.

Resources from UnitedHealthcare and Optum

Medicated Assisted Treatment: Locate a Provider (PDF 84.58 KB)
Naloxone Coverage for UnitedHealthcare Members
(PDF 323.61 KB)
Naloxone: What You Need to Know
(PDF 62.67 KB)
Opioid Tapering Recommendations
(PDF 102.65 KB)
The Role of Dentists in Managing Opioids
(PDF 448.16 KB)
Treatment Alternatives for Common Pain Conditions 
(PDF 96.61 KB)


Other Resources

Agency for Healthcare Research and Quality (AHRQ)
Interagency Guideline on Prescribing Opioids for Pain

Centers for Disease Control and Prevention (CDC)
CDC Guideline for Prescribing Opioids for Chronic Pain (2016)
CDC Opioid Overdose Guideline Resources

Substance Abuse and Mental Health Services Administration (SAMHSA)
The Role of Prevention in Addressing Neonatal Abstinence Syndrome

 

Florida Healthy Kids

Pharmacy Program

The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by Florida Healthy Kids.

Click on the link below to view the Preferred Drug List.

Preferred Drug List (PDL) Search
Preferred Drug List (PDF 1.2 MB)

4/1/2018 PDL Update (PDF 220.1 KB)
1/1/2018 PDL Update (PDF 165.54 KB)
10/1/2017 PDL Update (PDF 61.45 KB)
7/1/2017 PDL Update (PDF 135.7 KB)


Step Therapy Program

Step Therapy (PDF 21.02 KB)

 

Drug Quantity Limits

Quantity Limits (PDF 20.11 KB)

 

Pharmacy Bulletins

Florida Healthy Kids Synagis Program (PDF 225.02 KB)
Florida Healthy Kids Synagis Enrollment Form (PDF 225.02 KB)

 


UnitedHealthcare Community Plan M*Plus (MMA)

Pharmacy Program 

The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by UnitedHealthcare Community Plan M*Plus (MMA).

Click on the link below to view the Preferred Drug List.

View the Preferred Drug List (PDL)

Prior Authorization Drug Criteria

 

 

 


UnitedHealthcare Dual Complete® LP (HMO SNP)
H1045-039


UnitedHealthcare Dual Complete® LP (HMO SNP)
H1045-040


UnitedHealthcare Dual Complete® RP (Regional PPO SNP)
R7444-012


UnitedHealthcare Dual Complete®RP ONE (Regional PPO SNP)
R7444-013


UnitedHealthcare Health & Home Connection