Outpatient hospitals are required to obtain certain specialty medications from the specialty pharmacies listed for administration of these medications, unless otherwise authorized by us. In the event the specialty medication is obtained through the specialty pharmacy, the specialty pharmacy will bill us directly for these medications under the member’s medical benefit.
You can view the current medication and specialty pharmacy list in our Specialty Pharmacy Requirements for UnitedHealthcare Commercial Plan Members pdf.
Questions? Please contact your Network Management or Provider Relations teams.