Community Plan Pharmacy Prior Authorization

Official Website: http://uhcprovider.com

At UnitedHealthcare, we serve millions of people from their earliest years through their working lives and into retirement. What unites us is our mission to help people live healthier lives and make the health system work better for everyone.

These are extraordinary times in health care. The opportunities to help people live healthier have never been greater. Advanced data and technologies, breakthrough treatments and consumer choice are redefining what can be achieved.

We are working to create a system that is connected, aligned and more affordable for all involved. One that delivers high quality care, responsive to the needs of each person and the communities in which they live. We are also partnering with care providers, collaborating in new ways to improve patient care.

At UnitedHealthcare, we are working to play our part in creating a more sustainable health care system: one that works better for everyone.

Forms & Documents

Browse all Community Plan Pharmacy Prior Authorization government forms

201 - 220 of 288 forms

Form Title Topics
Progesterone - Non-Oral (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Progesterone, Oral Prior Authorization Form - Community PlanOpens in a new window
Promacta (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community Plan
Proton Pump Inhibitors (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Provigil / Nuvigil (AZ, FL, HI, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Pulmonary Arterial Hypertension [Adcirca, Revatio, Uptravi] (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Pulmozyme (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Ranexa Prior Authorization Form - Community PlanOpens in a new window
Ravicti (AZ, HI, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community PlanOpens in a new window
Rectiv (AZ, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Regranex (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Relistor Prior Authorization Form - Community PlanOpens in a new window
Renvela Prior Authorization Form - Community PlanOpens in a new window
Repatha (AZ, FL, HI, MD, NJ, NY, OH, RI) Prior Authorization Form - Community PlanOpens in a new window
Re-Review Reconsideration Request Prior Authorization Form - Community PlanOpens in a new window
Revlimid (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community Plan Opens in a new window
Rhofade (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania) Prior Authorization Form - Community PlanOpens in a new window
Rozerem (AZ, Florida Healthy Kids, HI, NJ, NY, OH, PA, RI)Opens in a new window
Rubraca (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Ruconest (AZ, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window

Contact Information & Office Locations

1 contact point

Phone numbers:
  • (877) 842-3210 (Provider Service Voice Portal)
  • (844) 386-7491 (toll free)
  • (866) 842-3278 (toll free)
  • (844) 359-7736 (Reporting Fraud)

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