Pharmacy - Chapter 4, 2022 UnitedHealthcare Administrative Guide

For information about pharmacy benefits for the Exchanges, go to uhcprovider.com/pharmacy.

  • View and search the Prescription Drug List (PDL).
  • Learn about pharmaceutical management procedures for prior authorization requirements, supply limits and step therapy protocols.
  • View medications requiring notification and prior authorization.

To request authorization for outpatient self-administered medications, call 1-800-711-4555 or online at uhcprovider.com or professionals.optumrx.com.

For authorization for provider-administered medications, go to uhcprovider.com/paan.

Members can access pharmacy benefit information, including PDLs, drug costs and in-network pharmacies within their online account at myuhc.com/exchange.