Indiana: New outpatient injectable drug requirements
Effective April 1, 2022, we will requireprior authorization for the medications listed in the table below for UnitedHealthcare Community Plan of Indiana members. You can submit prior authorization requests in the following ways:
Online: Use the Prior Authorization and Notification tool on UHCprovider.com
Call: Use the Provider Services phone number on the member’s health care identification card
We may deny your claim if you administer any of these medications without following the prior authorization process. You can’t bill for services denied due to failure to complete the prior authorization.
Asceniv™ (immune globulin intravenous, human)
Eligard®, Lupron Depot® (leuprolide acetate)
Lupaneta Pack™ (leuprolide acetate injection and norethindrone acetate tablets)