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UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion) Lookup Tools
Find A Provider
Find A Provider
To find a PCP or a Specialist in our network, please click above for complete information, including names, addresses, specialties, new patient’s availability and languages spoken. If you would like us to provide you with a printed version at no cost, please call us, at 1-844-752-9434 (TTY: 711).
Primary Care Provider
As a member of UnitedHealthcare Community Plan of Virginia - Medicaid (TANF) Plan, one of the first things you will want to do is to choose a Primary Care Provider (PCP). Your PCP will provide and coordinate all your healthcare, including referrals to specialists, with the exception of emergencies, mental health and women’s healthcare. Each covered family member may choose a different PCP within UnitedHealthcare Community Plan of Virginia - Medicaid (TANF) Plan. If you do not choose a PCP, we may select one for you, which you can change later.
Please feel free to call our Member Services line, at 1-844-752-9434 (TTY: 711) and we will be happy to help you find or change your PCP.
Find A Drug
Find A Drug
Preferred Drug List (PDL)
The PDL is a list of covered prescription drugs, and drugs needing prior authorization for enrollees. Prior authorization is when your doctor has to call us before giving you the prescription to see if we will cover it.
Download UnitedHealthcare Community Plan of Virginia - Medicaid (TANF) Plan Preferred Drug List Effective January 1st*
*Preferred Drug List is subject to change
90 Day Supply Drug List
Virginia Medicaid has a new policy allowing coverage of up to a 90-day supply for many drugs as of October 1, 2021. The list of drugs by the Department of Medical Assistant Services (DMAS) includes many medications which members often receive for long term therapy. Members will be eligible for this policy after filling two 31-day supply fills in the past 120 days. This new 90-day list does not include all drugs. Drugs posted at the Virginia Medicaid Pharmacy Services website may be covered for 90 days. If the medication is not on the list, a maximum of 31-day supply will be applied. Some medications may have other edits, please see the searchable formulary.
COVID 19 Test Kit Reimbursement Request Form
Pharmacy Direct Member Reimbursement Form
Use this form to get refunded if you paid retail cost for your covered prescription drug(s).
UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion)
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