March 22, 2023 at 11:30 AM CT

On March 20, 2023, we learned that incorrect eligibility data was being shown for some UnitedHealthcare Community Plan of Massachusetts members who are actively enrolled in the Senior Care Options (SCO) plan. This technical issue has now been resolved. Please continue to provide authorized care services according to the enrollees’ current individual care plan.

If you experienced a denial related to coverage eligibility or have questions about a SCO plan member’s eligibility, please call UnitedHealthcare at 888-867-5511, TTY 711. We apologize for any inconvenience this may have caused.

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.  

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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

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.

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.

Additional Pharmacy Resources