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

81 - 100 of 288 forms

Form Title Topics
Entocort EC (AZ, HI, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community PlanOpens in a new window
Entresto Prior Authorization Form - Community PlanOpens in a new window
Erivedge (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Erleada (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Erythropoietic Agents [e.g. Aranesp, Epogen, Procrit, Mircera] (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Eucrisa Prior Authorization Form - Community PlanOpens in a new window
Exondys 51 (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Farydak (AZ, Florida Healthy Kids, HI, MD, NY, OH, RI) Prior Authorization Form - Community PlanOpens in a new window
Fenofibrate (AZ, HI, MD, NJ, NY, OH, RI) Prior Authorization Form - Community PlanOpens in a new window
Fentanyl Immediate Release (AZ, Florida Healthy Kids, HI, MD, NY, OH, RI) Prior Authorization Form - Community PlanOpens in a new window
Firazyr (AZ, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community Plan
Firdapse (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Forteo (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Galafold (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Gaucher's Disease Agents [Cerdelga, Elelyso, Zavesca] (Arizona) Prior Authorization Form - Community PlanOpens in a new window
General Non-Preferred Medication Prior Authorization Form - Community PlanOpens in a new window
Gilotrif (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Gleevec (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
GLP-1 Agonist / Basal Insulin Combinations (AZ, FL, HI, MD, NJ, NY, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
GLP-1 Agonists (Arizona) Prior Authorization Form - Community Plan

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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