Effective Aug. 1, 2023, we will require prior authorization for the following medications listed with their HCPCS codes:
This affects the following UnitedHealth benefit plans:
You can submit a prior authorization request through the UnitedHealthcare Provider Portal:
We will complete prior authorization reviews according to state-defined requirements. You’ll receive notifications of the case determination, including appeal rights, when applicable, within required time frames.
Your prior authorization requests will be denied if sufficient clinical information is not provided. Please submit all documentation when submitting your requests, according to health plan protocols.
For questions about these prior authorization requirements, call us at 888-397-8129 7 a.m.–7 p.m. CT Monday–Friday.