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

61 - 80 of 288 forms

Form Title Topics
Cosentyx (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Cotellic (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community Plan
Cough and Cold, Opiate Combination (Arizona) Prior Authorization Form - Community Plan
Crestor (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Cystaran Prior Authorization Form - Community PlanOpens in a new window
Daraprim (AZ, Florida Healthy Kids, HI, OH) Prior Authorization Form - Community PlanOpens in a new window
Dificid (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Doptelet (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
DPP-4 Inhibitors (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Dry Eye Disease [Restasis & Xiidra] (AZ, FL, HI, MD, NJ, NY, OH, PA) Prior Authorization Form - Community PlanOpens in a new window
Duopa (AZ, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Dupixent (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community Plan
Effient (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Egrifta (AZ, Florida Healthy Kids, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community PlanOpens in a new window
Elaprase (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Elidel / Protopic (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania) Prior Authorization Form - Community PlanOpens in a new window
Elmiron (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Emflaza Prior Authorization Form - Community PlanOpens in a new window
Enbrel (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Endari 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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