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

121 - 140 of 288 forms

Form Title Topics
Increlex (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Ingrezza Prior Authorization Form - Community PlanOpens in a new window
Inhaled Corticosteroid/Long Acting Beta Agonist Combinations [Advair, Dulera, Symbicort, Breo Ellipta, AirDuo] (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Inhaled Corticosteroids [Arnuity / Ellipta / Asmanex HFA / Pulmicort Respules] (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Inlyta (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Insulin Pen Needles and Syringes (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Iressa (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Iron Chelators [Exjade, Jadenu, Ferriprox] (AZ, Florida Healthy Kids, HI, NY, OH, RI) Prior Authorization Form - Community PlanOpens in a new window
Irritable Bowel Syndrome - Constipation (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Irritable Bowel Syndrome - Diarrhea [e.g. Lotronex, Vibrezi] (AZ, Florida Healthy Kids, HI, MD, NJ, NY, RI) Prior Authorization Form - Community PlanOpens in a new window
Isotretinoin - [Amesteem, Claravis, Myorisan, Zenatane and Absorica] - Prior Authorization Form - Community PlanOpens in a new window
Itraconazole (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Jakafi (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Januvia / Janumet / Janumet XR (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Jentadueto / Kombiglize XR / Onglyza / Tradjenta (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Juxtapid (AZ, FL, HI, MD, NJ, NY, OH, RI) Prior Authorization Form - Community PlanOpens in a new window
Jynarque (AZ, Florida Healthy Kids, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Kalydeco (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Keveyis (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Kevzara (Arizona) 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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