UnitedHealthcare Community Plan’s Clinical Pharmacy Program Guidelines are updated on an ongoing basis by our Pharmacy and Therapeutics Committee. Our changes reflect recent developments in pharmaceutical health care so we’re aligned with national treatment standards.
These guidelines apply to the following plans:
- Arizona AHCCCS/Medicaid
- Arizona Children's Rehabilitative Services (CRS) Program
- Arizona Developmentally Disabled Program
- Arizona Long Term Care
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Actemra - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Actimmune (interferon gamma-1b) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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ADHD Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Afinitor (everolimus) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Afrezza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Aldurazyme - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Alecensa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Alfa Interferons - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Alinia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Alunbrig (brigatinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Ampyra (dalfampridine) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Anthelmintics - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Anticonvulsants - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Antipsoriatic Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Antipsychotics - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Apokyn - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Arcalyst - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Aricept 23mg - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Austedo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Azole Antifungals - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Benlysta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Benznidazole - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Berinert - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Biltricide - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Bosulif - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Brilinta / Effient - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Buphenyl - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cabometyx (cabozantinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 08.31.2018
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Calquence - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Caprelsa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Carbaglu - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cayston - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.25.2018
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Celebrex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cesamet / Marinol - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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CGRP - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cholbam - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cialis for BPH - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.25.2018
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Cimzia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cinryze - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Ciprodex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Colony Stimulating Factors - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Combination Basal Insulin / GLP-1 Receptor Agonist - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Cometriq (cabocantinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Compounds and Bulk Powders - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Concentrated Insulins - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Copper Chelating Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Corlanor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cosentyx - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cotellic - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Crestor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Cystaran (cysteamine) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Daliresp - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Daraprim - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Diclegis - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Dificid - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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DPP-4 Inhibitors - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Dry Eye Disease - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Duopa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Dupixent - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Egrifta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Elaprase - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Elidel / Protopic - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Elmiron - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Emflaza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Endari - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Entocort - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Entresto - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Epaned - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Erivedge - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Erleada (apalutmide) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Eucrisa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Evzio - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Exondys 51 (Drug Policy) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Fabrazyme - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Farydak - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Fenofibrate - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Fentanyl IR - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Firazyr - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Forteo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Gattex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Gaucher’s Disease Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Gilotrif (afatinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Gleevec - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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GLP-1 Agonists - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Gonadotropin-Releasing Hormone Agonists - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Gout - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Growth Hormone / Growth Stimulating Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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H.P. Acthar Gel / Repository Corticotropin Injection - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Haegarda - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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HCG - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Hemangeol - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Hemlibra - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.25.2018
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Hemophilia Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Hepatitis C Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Hetlioz - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Hycamtin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Ibrance - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Iclusig - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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ICS.LABA Combination Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Idhifa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Idiopathic Pulmonary Fibrosis - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Ilaris - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Imbruvica - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Impavido - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Inderal LA - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Ingrezza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Inhaled Corticosteroids / ICS Single Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Inlyta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Iressa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Iron Chelators - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Irritable Bowel Syndrome (IBS) Constipation - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Irritable Bowel Syndrome (IBS) Diarrhea - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Isotretinoin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.25.2018
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Jakafi (ruxolitinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Juxtapid - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Kalydeco - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Keveyis - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.25.2018
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Kevzara - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Kineret - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Kisqali - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Korlym - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Kuvan - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Kynamro - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Lenvima - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Lidocaine Patch - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Lidoderm - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Long-Acting Opioid Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Lonsurf - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Lynparza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Lyrica - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Lysteda - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Makena and 17P (Drug Policy) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Mekinist - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Mepron - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Migranal - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.25.2018
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Mirvaso - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Mozobil - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Multaq - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Multiple Sclerosis (MS) Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Myalept - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Myozyme / Lumizyme - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.25.2018
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Mytesi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.25.2018
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Namzaric - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Natpara - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Nerlynx - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Nexavar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Ninlaro - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Nityr - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Noctiva (desmopressin acetate) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Non-Preferred Drugs - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Non-Solid Dosage Forms - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Northera - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Nuedexta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Nuplazid - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Ocaliva (obeticholic acid) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Odomzo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Omega - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Optivar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Orencia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Orfadin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Orkambi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Otezla - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Overactive Bladder Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Panretin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Pomalyst (pomalidomide) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Pradaxa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Praluent - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Prevymis (letermovir) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Procysbi (cysteamine bitartrate) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Progesterone, Non-Oral - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.26.2018
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Progesterone, Oral - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Promacta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Proton Pump Inhibitors (PPI) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Provigil / Nuvigil - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Pulmonary Arterial Hypertension (PAH) Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Pulmozyme - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.26.2018
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Quantity Limits - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Ranexa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Ravicti - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Rectiv - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Regranex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Relistor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Renvela - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Repatha - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Revlimid - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Rhofade - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Rozerem - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Rubraca - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 06.26.2018
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Ruconest - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Rydapt (midostaurin) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Sabril - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Samsca - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Sandostatin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Selzentry - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Sensipar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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SGLT-2 Inhibitors - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Short-Acting Opioid Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Signifor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Siliq - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Simponi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Sivextro - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Soliris (Drug Policy) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Somavert - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Soritane - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Spinraza (Drug Policy) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Sprycel - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Stelara - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Stivarga - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Strensiq - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Sublingual Immunotherapy (SLIT) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Suboxone / Subutex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Sutent - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Symdeko - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Symlin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Synribo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Tafinlar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Tagrisso - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Taltz - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Tarceva - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Targretin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Tasigna - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Temodar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Test Strips, Blood Glucose - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Thalomid (thalomide)- Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Tobramycin Inhalation - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Topical Androgens - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Topical NSAIDs - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Modified 08.31.2018
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Topical Retinoid Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Trelegy Ellipta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Tremfya - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Triptans - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Tykerb - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Tymlos - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Uloric - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Valchlor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Vancocin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Vecamyl - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Venclexta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Verzenio - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.29.2018
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Votrient - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Xalkori - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Xeljanz / Xeljanz XR - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Xenazine - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Xermelo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Xifaxan - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Xopenex Respules - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 07.31.2018
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Xtandi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Xuriden - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Xyrem - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Zejula - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Zelboraf - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Zetia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Zolinza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Zontivity - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Zydelig - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 06.26.2018
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Zykadia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018
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Zytiga (abriaterone acetate) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Modified 08.31.2018