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)
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
Preferred Drug List and Updates
The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by UnitedHealthcare Community Plan.
Click on a link below to view the Preferred Drug List.
Step Therapy Program
Step Therapy Policy (PDF 21.02 KB)
Drug Quantity Limits Initiative
Quantity Limit Policy (PDF 20.11 KB)
Synagis Enrollment Form (PDF 112.99 KB)
Synagis® Dosing and Prior Authorization Requirements (PDF 77.37 KB)
UnitedHealthcare Dual Complete® (HMO SNP)H5008-002
Preferred Drug List
The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by Dual Complete (HMO SNP) H5008-002.
Click on the link below to view the Preferred Drug List.
Download the Acrobat version of the Preferred Drug List (PDL)
Submit a Pharmacy Prior Authorization Request to Prescription Solutions.