Medicaid Preferred Drug List Update

Our Pharmacy and Therapeutics Committee updates UnitedHealthcare Community Plan’s Preferred Drug List (PDL)[NJL1]  quarterly. The following are the updates for the first quarter of 2021. Please review the changes and update your references as necessary.

PDL changes will be effective Jan. 1, 2021 for the following UnitedHealthcare Community Plans:

  • Arizona
  • California
  • Colorado
  • Hawaii
  • Maryland
  • Nevada
  • New Jersey
  • New York Children’s Health Insurance Program (CHIP)
  • New York Essential Plan
  • New York Medicaid
  • Pennsylvania- CHIP
  • Rhode Island
  • Virginia

These changes do not apply to UnitedHealthcare Community Plans in:

  • Florida
  • Kansas
  • Kentucky
  • Louisiana
  • Michigan
  • Mississippi
  • Nebraska
  • Ohio
  • Pennsylvania-Medicaid
  • Texas
  • Washington

For more information, read our First Quarter 2021 Preferred Drug List Update.

Not all medications will be added, modified or deleted in each state, so please check the state’s PDL for a state-specific list of preferred drugs. You can view the changes at UHCprovider.com/plans > Choose Your State > Medicaid (Community Plan) > Pharmacy Resources and Physician-Administered Drugs.