June 01, 2022

Hawaii Medicaid: Pharmacy prior authorization resources

When your patients are prescribed medications that require prior authorization, the following resources may help:

  • Streamline the prior authorization process
  • Reduce administrative work for you and your staff 

Pharmacy prior authorization resources
Hawaii UnitedHealthcare Community Plan Preferred Drug List
The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by the UnitedHealthcare Community Plan – QUEST Integration Program. Please review the PDL prior to ordering medications to determine if the medication will be covered.

PreCheck MyScript
Integrated directly within your EMR, PreCheck MyScript® lets you run a pharmacy trial claim and get real-time prescription coverage for your UnitedHealthcare patients. For more information, go to UHCprovider.com/pcms.

CoverMyMeds
Streamline the prior authorization process with CoverMyMeds, a medication prior authorization portal that electronically connects providers, pharmacists and health plans to help improve time-to-therapy and decrease prescription abandonment.

Additional resources
More pharmacy resources are available through the UnitedHealthcare Community Plan of Hawaii

Questions?
If you have questions about the pharmacy prior authorization process, please call 888-980-8728.

PCA-22-01294-C&S-News