Unitedhealthcare pharmacy list 2023

Copays as low as $2 when you fill your prescription at a Preferred Retail Network pharmacy 1,3, 6. Copays as low as $2 when you fill your prescription at a Preferred Retail Network pharmacy 1,3, 6. Optum Home Delivery. $6 copay for a 90-day supply of Tier 1 medication (typically generic drugs) 5.

Unitedhealthcare pharmacy list 2023. Changes 2023 UnitedHealthcare Dual Complete® Choice (PPO D-SNP) Toll-free 1-866-480-1086, TTY 711 8 a.m.-8 p.m. local time, 7 days a week ... Pharmacy Directory Review the 2023 Pharmacy Directory online to see which pharmacies are in our network next year. Drug List (Formulary)

Note: Once in the . Medical Records Documentation Used . for Reviews document, search for the medication name or applicable HCPCS code. ® ® Crysvita. Elaprase. Adakveo® (crizanlizumab-tmca) J0791 Aldurazyme® (laronidase) J1931 Amondys 45™ (casimersen) J1426 Amvuttra™ (vutrisiran) J0225 Apretude™ (cabotegravir) J0739 Aralast NP® (A1 …

Pharmacy and Clinical Information. Last update: April 5, 2023, 3:30 p.m. CT. Pharmacies are a critical access point and are heavily involved in vaccine distribution and administration efforts during the national public health emergency. Pharmacies must be enrolled in the Centers for Disease Control and Prevention (CDC)’s Federal Pharmacy ...2023 Over-the-Counter (OTC) ... Only the items listed in your catalog are available through your plan. 3. Go to any OTCHS enabled CVS Pharmacy® store. ... products by going to any OTC Health Solutions-enabled CVS Pharmacy® store. You can also order by phone at 1-888-628-2770 (TTY: 711) ...%PDF-1.7 %ÅÙÕÉÅÿ 1 0 obj /Author (United Health Care U_EI_CoreUNET_PDL_CRGB_0001) /CreationDate (D:20230724152409Z) /ModDate (D:20230724152409Z) /Creator (Xerox ...Pharmacy | PDL Your 2024 Prescription Drug List Traditional 3-Tier Effective January 1, 2024 This Prescription Drug List (PDL) is accurate as of January 1, 2024 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, River Valley, Oxford, and Student Resources medical plans with a pharmacy benefit subject toTo help improve member access to these products, continuous glucose monitor (CGM) supplies (transmitters, receivers/readers and sensors) will be made available through the pharmacy at the point-of-sale. Effective Jan. 1, 2023, coverage will be available for the following products at the pharmacy: Dexcom G6 receiver, transmitter and sensor.Coverage Period: 01/01/2023 – ... Services Your Plan Does NOT Cover (Check your policy or plan document for more information and a list of any other excluded services.) • Cosmetic surgery. • Long-term care.To locate a contracted specialty pharmacy, download the list: Provider Vendor Assistance - Specialty Pharmacy. Specialty Program Description. UnitedHealthcare Community Plan administers a Specialty Pharmacy Management Program that provides high-quality, cost-effective care for our members.LA Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) Effective Date: July 1, 2023 (Updated October 1, 2023) Additional Point-of-Sale (POS) Edits May Apply Drugs highlighted in yellow indicate a new addition or a change in status Page | 1 Descriptive Therapeutic Class Drugs on PDL Drugs on NPDL which Require Prior Authorization (PA)

Complete Drug List (Formulary) 2023 UnitedHealthcare Dual Complete® Select (HMO-POS D-SNP) Important notes:This document has information about the drugs covered by this plan.Standard Select. Pharmacy Network. A. Albertsons. Ahold/DH-Ahold ... UnitedHealthcare and the dimensional U logo are trademarks of UnitedHealth Group Incorporated ...prescription drugs are still covered. In most cases, you must use network pharmacies to have your prescriptions covered by the plan. When this Drug List refers to “we,” “us,” or “our,” it means UnitedHealthcare. When it refers to “plan,” “our plan,” or “your plan,” it means AARP Medicare Advantage Choice plans.To locate a contracted specialty pharmacy, download the list: Provider Vendor Assistance List - Specialty Pharmacy. Specialty Program Description UnitedHealthcare Community Plan administers a Specialty Pharmacy Management Program that provides high-quality, cost-effective care for our members.Oct 6, 2022 ... Below we list the average Star Ratings for 2021, 2022, and 2023 Part C ... UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. UnitedHealth Group, Inc ...Have you ever been to the pharmacy to get a new prescription only to find out it costs more than you are comfortable spending? This experience can lead to financial stress or, in some cases, can prevent you from accessing needed medications...

Use the OptumRx drug pricing tool to look up the estimated price of a medication based on pharmacies near you. This tool is only a guide; your actual costs may vary. Estimated pricing is not specific to your benefit and is not available for all medications. For the HSA Advantage Plan, these estimates are the amounts that would apply to your ...Are you looking for a provider directory 2023 unitedhealthcare? You can find it here, along with other useful information about your Medicare plan options, benefits, and costs. This webpage will help you compare and choose the best plan for your health care needs. 7 days ago ... UnitedHealthcare · Cigna · Anthem. Best Medicare Advantage Plans and ... pharmacy visits. Read our review here. Methodology: How We Picked the ...Contact Optum Rx any time at 1-888-658-0539 / TTY 711. 2 You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all drug payment stages except the Catastrophic drug payment stage where you pay $0. 3 AARP® Medicare Rx Walgreens from UHC (PDP)’s pharmacy network includes limited lower-cost pharmacies in ...January 1, 2023 - December 31, 2023 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of our plan This document gives you the details about your Medicare health care and prescription drug coverage from January 1, 2023 - December 31, 2023. This is an important legal document.Walgreens â Preferred Retail Pharmacy UnitedHealthcare and Walgreens are working together to offer you low prescription drug copays. There are more than 9,000 neighborhood Walgreens and Duane Reade locations nationwide. Save $15 or more on each prescription when you use Walgreens or Duane Reade.

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Are you looking for a provider directory 2023 unitedhealthcare? You can find it here, along with other useful information about your Medicare plan options, benefits, and costs. This webpage will help you compare and choose the best plan for your health care needs. Complete Drug List (Formulary) 2023 UnitedHealthcare® Group Medicare Advantage (PPO) UC Medicare Choice Important notes: This document has information about the drugs covered by ... l The prescription is filled at a network pharmacy, and l Other plan rules are followed For more information about your drug coverage, please review your Evidence ...Pharmacy resources for Ohio Community Plan providers. ... Avoid claim denials – make your PNM updates before Oct. 20, 2023. Effective Oct. 20, 2023, Next Generation Medicaid managed care organizations (MCOs), the OhioRISE plan and MyCare Ohio plans must use provider data from Ohio Medicaid’s Provider Network Management …Pharmacy | PDL Your 2024 Prescription Drug List Traditional 3-Tier Effective January 1, 2024 This Prescription Drug List (PDL) is accurate as of January 1, 2024 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, River Valley, Oxford, and Student Resources medical plans with a pharmacy benefit subject to

2024 Plans Select a plan * Search Questions? Call UnitedHealthcare at +18557660274 / TTY 711, 8 a.m. to 8 p.m., 7 days a week More information Find a pharmacy near you by entering your zip code. We make it easy for you to get the most of your Medicare Part D Prescription Drug plan benefits.How can I find a drug on the Drug List? There are 2 ways to find your prescription drugs in this Drug List: 1. By name. Turn to the section “Covered drugs by name (Drug index)” on pages 11-29 to see the list of drug names in alphabetical order. Find the name of your drug. The page number where you can find the drug will be next to it. 2. Oxford Health Plans (NJ), Inc. Administrative services provided by United HealthCare Services, Inc., UnitedHealthcare Service LLC, Oxford Health Plans LLC, or their affiliates. 8/22 ©2023 United HealthCare Services, Inc. WF7969805-D_2023 Traditional 4-Tier PDL update summary. Learn more. Call the toll-free phone number on your member IDCare Options · Providers and facilities · Virtual care · Behavioral health · Pharmacy locator · Durable medical equipment · Transplant · Complex Care Management ...What is a PDL? This document is a list of the most commonly prescribed medications. It includes About this PDL both brand-name and generic prescription medications approved by the Food and Where differences exist between Drug Administration (FDA). Shopko Pharmacy. Smiths Food and Drug. Walgreens. Walmart Stores. Wegman Food Market. UnitedHealthcare's. Value Pharmacy Network. Pharmacy List.AARP MedicareRx Walgreens (PDP) offers the following coverage and cost-sharing. Insurer: UnitedHealthcare. Drugs Covered: Yes. Please Note: This plan does not charge an annual deductible for all drugs. The $350.00 annual deductible only applies to drugs on certain tiers.Complete Drug List (Formulary) 2023 UnitedHealthcare® Group Medicare Advantage THE ARIZONA STATE RETIREMENT SYSTEM PUBLIC SAFETY PERSONNEL RETIREMENT SYSTEM ... l The prescription is filled at a network pharmacy, and l Other plan rules are followed For more information about your drug coverage, please review your Evidence of …UnitedHealthcare® today introduced its 2024 Medicare Advantage plans, delivering a simpler member experience with enhanced benefits, broad network access and cost-savings through valuable specialty and prescription drug coverage.

The Medical Benefit Therapeutic Equivalent Medications - Excluded Drugs policy for UnitedHealthcare commercial plan members is a long-term exclusion for certain medication injectables that healthcare professionals administer. We exclude medications on this list as allowed by member benefits and applicable state law. FAQs

Walgreens – Preferred Retail Pharmacy UnitedHealthcare and Walgreens are working together to offer you low prescription drug copays. There are more than 9,000 neighborhood Walgreens and Duane Reade locations nationwide. ... Dental network size based on Zelis Network360, May 2023. ...2023 Savings Benefit ... Pharmacies on this list are called “network pharmacies” because UnitedHealthcare has made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under your plan only if they are filled at a network pharmacy or through our mail order …© 2023 UnitedHealthcare Services, Inc. & Rally Health, Inc. All rights reserved. Terms of Use [Opens in a new window]; Privacy Policy [Opens in a new window]; About ...This Prescription Drug List (PDL) is accurate as of January 1, 2023 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, Neighborhood Health Plan, UnitedHealthcare Freedom Plans, River Valley, All Savers and OxfordCosts you could pay with Medicare Part D. With stand-alone Part D plans, you will pay a monthly premium and may also pay an annual deductible, copays and coinsurance. Some plans charge deductibles, some do not, but Medicare sets a maximum deductible amount each year. In 2023, the annual deductible limit for Part D is $505.Contact Optum Rx any time at 1-888-658-0539 / TTY 711. 2 You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all drug payment stages except the Catastrophic drug payment stage where you pay $0. 3 AARP® Medicare Rx Walgreens from UHC (PDP)’s pharmacy network includes limited lower-cost pharmacies in ... Call UnitedHealthcare at 1-877-596-3258 / TTY 711, 8 a.m. to 8 p.m. 7 days a week. 1 Optum Rx home delivery is not available for the AARP Medicare Rx Preferred (PDP) plan in the following territories: Guam, American Samoa, U.S. Virgin Islands or Northern Mariana Islands. Optum Rx is an affiliate of UnitedHealthcare Insurance Company.United healthcare OTC Catalog 2023. The United Healthcare Over-the-Counter (OTC) card is a benefit offered by United Healthcare to certain health insurance plan members. This card allows eligible members to purchase a variety of over-the-counter products, such as medications, first-aid supplies, vitamins, and personal care items, without the ...Coverage says “we,” “us,” or “our,” it means UnitedHealthcare. When it says “plan” or “our plan,” it means UnitedHealthcare PEBB Complete Group Medicare Advantage (PPO).) UnitedHealthcare does not discriminate on the basis of race, color, national origin, sex, age, or disability in health programs and activities.l The prescription is filled at a network pharmacy, and l Other plan rules are followed For more information about your drug coverage, please review your Evidence of Coverage. Note to existing members: This complete list of prescription drugs covered by your plan is current as of September 1, 2022.

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Evidence-Based Care. Pharmacy is one of the most highly used benefits. Our goal is to provide members with wide-ranging, cost-effective medication choices. We review clinical and pharmacoeconomic evidence when developing our prescription drug list (PDL) and clinical programs. This evidence helps us determine a medication's overall value ...2023 Over-the-Counter (OTC) ... Only the items listed in your catalog are available through your plan. 3. Go to any OTCHS enabled CVS Pharmacy® store. ... products by going to any OTC Health Solutions-enabled CVS Pharmacy® store. You can also order by phone at 1-888-628-2770 (TTY: 711) ...What is a PDL? This document is a list of the most commonly prescribed medications. It includes About this PDL both brand-name and generic prescription medications approved by the Food and Where differences exist between Drug Administration (FDA).Use the OptumRx drug pricing tool to look up the estimated price of a medication based on pharmacies near you. This tool is only a guide; your actual costs may vary. Estimated pricing is not specific to your benefit and is not available for all medications. For the HSA Advantage Plan, these estimates are the amounts that would apply to your ...OptumRx® is a pharmacy services manager and is committed to helping Oxford members find cost-effective ways to get medications.A Prescription Drug List (PDL) – also called a formulary – is a list of commonly used medications, organized into cost levels, called tiers.These items may be covered if the member has Part D coverage for drugs under UnitedHealthcare. Refer to the member’s pharmacy booklet or contact the Prescription Solutions Customer Service Department to determine coverage eligibility for Part D prescription drug plan benefit.Welcome health care professionals. We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.We routinely evaluate prescription benefit coverage to help ensure our members have affordable and effective medication coverage. The Sept. 1, 2023, Prescription Drug List is now available.It applies to medications dispensed to members of UnitedHealthcare commercial plans and may include prescription drugs that are not …Pharmacy | PDL Your 2023 Prescription Drug List Advantage 4-Tier Effective September 1, 2023 ... This PDL applies to members of our UnitedHealthcare, Neighborhood Health …Complete Drug List (Formulary) 2023 UnitedHealthcare Dual Complete® Select (HMO-POS D-SNP) Important notes:This document has information about the drugs covered by this plan. ….

Welcome health care professionals. We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.UCard, only from UnitedHealthcare. Your UnitedHealthcare UCard® is your member ID and so much more. Only the UCard gives you access to a large national network of Medicare Advantage providers, credits to help pay for healthy food, OTC products, and utilities, and more. 1. UCard combines many member benefits and programs into a simpler experience.Treprostinil, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, 1.74 mg J3535 . Ventavis (iloprost)After making changes its value-priced medication program, Walgreens now charges $5 to $15 each for 30-day supply of several hundred generic drugs in 23 categories, as of January 2014.Pharmacy | PDL Your 2023 Prescription Drug List Texas Advantage 3-Tier Effective May 1, 2023 This Prescription Drug List (PDL) is accurate as of May 1, 2023 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare and Student Resources medical plans with a pharmacy benefit subject to the Advantage 3-Tier PDL.Use these tools to help you find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. In addition, you'll find directories for mental health clinicians and facilities.The Prescription Drug List (PDL) is a list of prescription medications commonly chosen by doctors and pharmacies. Prescription drug coverage varies by member benefit plan. Prescription Drug List - Commercial - Effective September 1, 2023 See moreThe following summary highlights prescription drug list (PDL) updates for most UnitedHealthcare commercial plans that have pharmacy benefits, effective on or before Jan. 1, 2023. New benefit coverage The following medications will become eligible for coverage on or before Jan. 1, 2023. Tier changesAARP Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company (UnitedHealthcare) or UnitedHealthcare Insurance Company of … Unitedhealthcare pharmacy list 2023, This Prescription Drug List (PDL) is accurate as of January 1, 2023 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, Neighborhood Health Plan, UnitedHealthcare Freedom Plans, River Valley, All Savers, Level2 and Oxford medical plans with a pharmacy benefit subject to the Advantage 3-Tier PDL., United healthcare OTC Catalog 2023. The United Healthcare Over-the-Counter (OTC) card is a benefit offered by United Healthcare to certain health insurance plan members. …, The Medical Benefit Therapeutic Equivalent Medications - Excluded Drugs policy for UnitedHealthcare commercial plan members is a long-term exclusion for certain medication injectables that healthcare professionals administer. We exclude medications on this list as allowed by member benefits and applicable state law. FAQs, This Prescription Drug List (PDL) is accurate as of January 1, 2023 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, Neighborhood …, l The prescription is filled at a network pharmacy, and l Other plan rules are followed For more information about your drug coverage, please review your Evidence of Coverage. Note to existing members: This complete list of prescription drugs covered by your plan is current as of September 1, 2022. , AARP MedicareRx Walgreens (PDP) offers the following coverage and cost-sharing. Insurer: UnitedHealthcare. Drugs Covered: Yes. Please Note: This plan does not charge an annual deductible for all drugs. The $350.00 annual deductible only applies to drugs on certain tiers., Oct 17, 2023 · Based on the most recent year of data, stand-alone AARP/UnitedHealthcare plans get an average of 3.21 stars, weighted by enrollment when the ratings were released. The 2023 average for all stand ... , Introduction The UnitedHealthcare Prescription Drug List (PDL)1provides a list of the most commonly prescribed medications in various therapeutic classes. This list is intended for …, Pharmacies may have been added or removed from the list after this was printed. TTY users should call 711, unless a different phone number is listed. Denali Pharmacy 1650 Cowles St, STE 41 C Fairbanks, AK 99701 907-458-5615 Cross Road Pharmacy 187 Glenn Hwy, Bldg B Glennallen, AK 99588 907-822-3336 Scotts Family Pharmacy Health and …, Sep 1, 2023 · Optum® Infusion Pharmacy expand_more Additional Resources 340B Medicare Advantage Drug Pricing Program open_in_new Drugs with Clinical Programs / Pharmacy Benefit Programs Drug List - Commercial Plans open_in_new Medication Therapies for Type 2 Diabetes – 2023 Quick Reference Guide open_in_new , Pharmacy | Specialty Pharmacy UnitedHealthcare’s Specialty Pharmacy Program Specialty Medications List — January 1, 2023 Specialty medications must be ordered from a network specialty pharmacy to get network coverage. Not all medications listed may be covered or locked* under your plan. At times, generic versions may be covered, 2023 Savings Benefit ... Pharmacies on this list are called “network pharmacies” because UnitedHealthcare has made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under your plan only if they are filled at a network pharmacy or through our mail order …, Value Pharmacy Network Pharmacy List UnitedHealthcare® and the dimensional U logo are registered trademarks owned by UnitedHealth Group Incorporated. All branded medications are trademarks or ... Administrative services provided by UnitedHealthcare Insurance Company, United HealthCare Services, Inc. or their affiliates. Health Plan …, Save on prescription drugs with a Medicare plan from UnitedHealthcare. Walgreens can help you find the right plan and save on copays. Extra 20% off $40 select health & wellness ... More Pharmacy Services. Back; More Pharmacy Services; Pharmacy Chat; Refill with Rx Number; Home Delivery Pharmacy ; Specialty Pharmacy; Easy Rx Delivery;, SilverScript plans from Aetna are the best choice for Medicare Part D in 2023. They have the highest ratings and reasonable costs of $39 per month, on average. Most plans will provide a similar set of basic benefits, and policies are becoming increasingly similar. However, the plan's details, including the annual deductible and list of covered ..., 2023 Savings Benefit ... Pharmacies on this list are called “network pharmacies” because UnitedHealthcare has made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under your plan only if they are filled at a network pharmacy or through our mail order …, Prescription Drug List Essential 4-Tier Effective May 1, 2023 This Prescription Drug List (PDL) is accurate as of May 1, 2023 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, All Savers, Golden Rule, Neighborhood Health Plan and River Valley medical plans with a pharmacy benefit subject to the ..., items by going to any OTC Health Solutions-enabled CVS Pharmacy®, CVS Pharmacy y mas®, or Navarro® store. You can also order by phone at 1-888-628-2770 (TTY: 711) or online at, UCard, only from UnitedHealthcare. Your UnitedHealthcare UCard® is your member ID and so much more. Only the UCard gives you access to a large national network of Medicare Advantage providers, credits to help pay for healthy food, OTC products, and utilities, and more. 1. UCard combines many member benefits and programs into a simpler experience. , Medicare Part D plans include options that cover commonly used generic and brand name prescription drugs with low to no copays and deductibles. Learn More. To learn more, call UnitedHealthcare toll-free at (TTY 711) 1-888-867-5512. You'll leave AARP.org and go to the website of a trusted provider., How can I find a drug on the Drug List? There are 2 ways to find your prescription drugs in this Drug List: 1. By name. Turn to the section “Covered drugs by name (Drug index)” on pages 11-29 to see the list of drug names in alphabetical order. Find the name of your drug. The page number where you can find the drug will be next to it. 2. , 2023 Savings Benefit Savings apply during the Initial Coverage period, which begins after the payment of your required deductible (if any) and ends when the total cost of your drugs (paid by UnitedHealthcare, you and others) reaches $4,660. Optum Rx is an affiliate of UnitedHealthcare Insurance Company., Effective May 1, 2023 This Prescription Drug List (PDL) is accurate as of May 1, 2023 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, …, A Drug List, or Formulary, is a list of prescription drugs covered by your plan. Your plan and a team of health care providers work together in selecting drugs that are needed for well …, Pharmacy | PDL Your 2023 Prescription Drug List Traditional 4-Tier Effective May 1, 2023 This Prescription Drug List (PDL) is accurate as of May 1, 2023 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare and Student Resources medical plans with a pharmacy benefit subject to the Traditional 4-Tier PDL., Oct 15, 2023 · AARP Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company (UnitedHealthcare) or UnitedHealthcare Insurance Company of America (UnitedHealthcare) Now’s the time to enroll. The Annual Enrollment Period for Medicare Advantage and prescription drug plans goes through December 7. Find Medicare plans in your area. , The Ohio Medicaid drug program is a federal and state supported program that provides prescription drug coverage to eligible recipients. The Ohio Department of Medicaid (ODM) administers the program which encompasses approximately 46,000 line items of drugs from nearly 700 different therapeutic categories. Fee-for-Service pharmacy claims are ..., LA Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) Effective Date: July 1, 2023 (Updated October 1, 2023) Additional Point-of-Sale (POS) Edits May Apply Drugs highlighted in yellow indicate a new addition or a change in status Page | 1 Descriptive Therapeutic Class Drugs on PDL Drugs on NPDL which Require Prior Authorization (PA), Millions trust Express Scripts for safety, care and convenience. Express Scripts makes the use of prescription drugs safer and more affordable., Sep 20, 2023 · UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for ... , If you need an older version of an Administrative Guide or Care Provider Manual, please contact your Provider Advocate. To find the contact information for your Provider Advocate, go to Find a Network Contact, and then select your state. 2022 UnitedHealthcare Care Provider Administrative Guide, 2023 Prescription Drug List Introduction The UnitedHealthcare Prescription Drug List (PDL)1 provides a list of the most commonly prescribed medications in various therapeutic classes. This list is intended for use with UnitedHealthcare health plans and affiliated companies’ pharmacy benefit plan designs. , Initial coverage stage Network pharmacy (30 -day retail supply) Mail service pharmacy (90-day supply) Tier 1: Preferred Generic $ 10 copay $ 10 copay (up to 30-day) $0 copay 31 to 90-day Tier 2: Preferred Brand $ 40 copay $ 80 copay Tier 3: Non-preferred Drug $ 90 copay $ 180 copay Tier 4: Specialty Tier 33 % coinsurance 33 % coinsurance