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

141 - 160 of 288 forms

Form Title Topics
Kineret (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Kisqali (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Kisqali Femara Co-Pack (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Korlym (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Kuvan (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Kynamro (AZ, FL, HI, MD, NJ, NY, OH, RI) Prior Authorization Form - Community PlanOpens in a new window
Lenvima (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Leucovorin (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Lidocaine Patch (AZ, HI, MD, NJ, NY, OH, PA, RI, WA) Prior Authorization Form - Community PlanOpens in a new window
Lokelma / Veltassa (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Lonhala Magnair / Yupelri (Arizona) Prior Authorization Form - Community Plan
Lonsurf (Arizona, Florida, Hawaii, Maryland, New Jersey, New York, Ohio, Pennsylvania, Rhode Island) Prior Authorization Form - Community PlanOpens in a new window
Lorbrena (AZ, FL, HI, MD, NJ, NY, OH, PA, RI) Prior Authorization Form - Community Plan
Lovaza (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Lovenox (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Lucemyra (AZ, FL, HI, NJ, NY, OH, PA, RI) Prior Authorization Form - Community PlanOpens in a new window
Lupron (Arizona) Prior Authorization Form - Community PlanOpens in a new window
Lynparza Prior Authorization Form - Community PlanOpens in a new window
Lyrica (AZ, FL, HI, NJ, NY, OH, PA) Prior Authorization Form - Community PlanOpens in a new window
Lysteda (AZ, 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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