Pharmacy Resources and Physician Administered Drugs

Find pharmacy information related to prescription drugs including prescription drug lists, step therapy, quantity limits and prior authorization requirements for Community Plan care providers.

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

Other Resources

Providers can contact the following organizations on behalf of UnitedHealthcare Community Plan patients that need help finding nearby open pharmacies in areas impacted by the disaster. 

 

New Uniform Prescription Drug Prior Authorization Form

As of January 1, 2019, the State of Louisiana requires all health care providers to use their state-specific form for prescription drug prior authorization requests.

Health care providers should entirely fill out and submit the completed form to the fax number listed on the form. Please include any additional documentation such as clinical notes, lab values, etc. that support your prior authorization request.

NOTE: Any prior authorization requests that are not submitted using the Louisiana Uniform Prescription Drug Prior Authorization Form will be cancelled and the health care provider will be asked to re-submit their request using the correct form.

Pharmacy Paper Prior Authorization Forms

Streamline Your Prior Authorization Process with CoverMyMeds

CoverMyMeds streamlines the medication prior authorization process, electronically connecting providers, pharmacists and plan/PBMs to improve time to therapy and decrease prescription abandonment with electronic prior authorization.

Get Real-Time Prescription Costs and Coverage Detail

The PreCheck MyScript Solution on Link helps make it easy to run a pharmacy trial claim and get real-time prescription coverage detail for your patients who are UnitedHealthcare benefit plan members.

Specialty pharmacy medications covered under the member’s medical benefit may be obtained through various sources ‒ home infusion providers, outpatient facilities, physicians or specialty pharmacy.

Coverage of a requested medication depends on the member’s benefit, and availability of a specific drug from a network specialty pharmacy may vary.

Upon request, a specialty pharmacy can deliver the medication to your office or another site such as a member’s home.

Medications obtained through a specialty pharmacy will be directly billed to the patient’s health plan. 

Additional Pharmacy Resources