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

221 - 240 of 288 forms

Form Title Topics
Rydapt (Arizona, Florida, Hawaii, Maryland, New Jersey, New Y
Samsca (AZ, HI, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community PlanOpens in a new window
Sandostatin (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Sedative Hypnotics (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Sensipar (Arizona) Prior Authorization Form - Community PlanOpens in a new window
SGLT-2 Inhibitors (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA) Prior Authorization Form - Community PlanOpens in a new window
Siliq (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Simponi, Subcutaneous (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Sivextro (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Soliris (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Somavert (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Soriatane (AZ, Florida Healthy Kids, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Sovaldi (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Specialty Medication Prior Authorization Cover Sheet (Arizona) - Community PlanOpens in a new window
Spinraza (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Sprycel (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Stelara (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Stivarga (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Strensig (AZ, HI, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community Plan
Sublingual Immunotherapy [e.g. Grastek, Orlair, Ragwitek] (AZ, Florida Healthy Kids, 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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