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Pharmacy Program
On Jan. 1, 2017, UnitedHealthcare Community Plan of Nebraska began serving Heritage Health members. To avoid disruption of care, we honored previously approved prescription medication authorizations for the first 90 days. The 90-day transition of care period for pharmaceuticals ended on April 1, 2017. Care providers may need to submit prior authorization requests and renewals.
To learn more about pharmacy benefit coverage:
Member Pharmacy Benefit Coverage – Effective Jan. 1, 2017 (PDF 134.66 KB)
Pharmacy Benefit Resources
Medicaid Pharmacy Benefit Frequently Asked Questions (PDF 246.66 KB)
Pharmacy Program Overview (PDF 745.74 KB)
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
State of Nebraska Preferred Drug List
The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by the Nebraska Department of Medicaid. View the PDL as produced by the state of Nebraska:
UnitedHealthcare Community Plan of Nebraska Preferred Drug List (PDF 1.41 MB)
Pharmacy Preferred Drug List (PDL) Lookup Tool
9/1/2018 PDL Update (PDF 54.2 KB)
Pharmacy Providers Dispensing Durable Medical Equipment (DME)
If you would like to be contracted for DME services offered to UnitedHealthcare Community Plan - Heritage Health members, contact Sr. Network Account Manager Angela Hogan at:
Email : Angela_hogan@uhc.com
Phone: 952-406-4955
Toll Free: 800-284-0626
Fax: 888-868-5011