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

261 - 280 of 288 forms

Form Title Topics
Test Strips (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Thalomid (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Tibsovo (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Topical NSAIDs (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Topical Retinoid Products (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Trelegy Ellipta (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Vitrakvi (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Vizimpro (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community Plan
Votrient (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Xalkori (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Xeljanz/Xeljanz XR (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Xenazine (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Xermelo (AZ, HI, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community Plan
Xifaxan (AZ, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Xolair (AZ, HI, LA, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community PlanOpens in a new window
Xopenex Respules (AZ, HI, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community PlanOpens in a new window
Xospata (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Xtandi (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Xyrem (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Yonsa (AZ, FL, 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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