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Pharmacy Program

 

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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

 

UnitedHealthcare Community Plan for Families

Pharmacy Program

Preferred Drug List and Updates

The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by UnitedHealthcare Community Plan for Families.

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

Preferred Drug List (PDL) Search
Preferred Drug List (PDL)
(PDF 1.25 MB) 

7/1/2018 PDL Update (PDF 80.08 KB) 
1/1/2018 PDL Update (PDF 57.22 KB)
10/1/2017 PDL Update (PDF 60.09 KB)
7/1/2017 PDL Update (PDF 122.16 KB)



Step Therapy Information

Step Therapy Policy  (PDF 21.02 KB)

Medication Quantity Limits Initiative

Opioid Changes (PDF 55.44 KB) - Updated 12.20.2017
Quantity Limit Policy (PDF 20.11 KB) 

 

Pharmacy Bulletins

Synagis Enrollment Form (PDF 112.99 KB)  

Synagis® Dosing and Prior Authorization Requirements (PDF 77.37 KB)

 

 

Pharmacy and Therapeutics (P&T) Committee Meeting Minutes

Second Quarter 2018 (PDF 56.27 KB)
First Quarter 2018 (PDF 62.93 KB)
Fourth Quarter 2017 (PDF 44.2 KB) 
Third Quarter 2017 (PDF 56.74 KB)

 


UnitedHealthcare Community Plan for Kids

Pharmacy Program 


Preferred Drug List and Updates

The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by UnitedHealthcare Community Plan for Kids.

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

Preferred Drug List (PDL) Search 

Preferred Drug List (PDL) (PDF 1.3 MB)

7/1/2018 PDL Update (PDF 80.08 KB) 
1/1/2018 PDL Update (PDF 57.22 KB)
10/1/2017 PDL Update (PDF 60.09 KB)
7/1/2017 PDL Update (PDF 122.16 KB)

 

Step Therapy Program

Step Therapy Policy (PDF 21.02 KB)


Drug Quantity Limits Initiative

Quantity Limit Policy (PDF 20.11 KB) 

 

Pharmacy Bulletins 

Synagis Enrollment Form (PDF 112.99 KB)  

Synagis® Dosing and Prior Authorization Requirements (PDF 77.37 KB)

 


UnitedHealthcare Dual Complete® (HMO SNP)
H3113-009


UnitedHealthcare Dual Complete® ONE (HMO SNP)
H3113-012