Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans.

Here, you can access a variety of resources to help you work with us as you care for members who have these state-specific plans.

Helpful links

State-specific plan information

Find pharmacy information about prescription drug lists, clinical criteria and prior authorization forms.

A Prescription Drug List (PDL) or a formulary is a list of covered prescribed medications, other pharmacy care products or supplies. Use the PDL Booklet to learn more about the drug list, tier information and definitions of prior authorization and utilization management edits. For real-time coverage information, search for medications using the Medication Search.

States can have multiple PDLs. To access member specific PDLs, use PreCheck MyScript.

Pharmacy Benefit Coverage Updates

• Pharmacy Benefit Coverage Update – Individual and Family plans – Effective October 1, 2023