Some specialty medications do have procurement protocols that are found in the UnitedHealthcare Physician, Health Care Professional, Facility, and Ancillary Provider Administrative Guide. This guide is available at uhconline.com. Please visit the medication index page, and click on the medication you're prescribing to find out if there are any specific requirements.
You can ensure your patient is getting the most cost-effective care by finding out if his or her medication has specific protocols or an optimal place of service. To do so, please visit the medication index page and search for your patient's medication.
Clinical Management and/or Adherence programs are available for certain specialty medications. Your patient can contact the specialty pharmacy directly to enroll in a Clinical Management and/or Adherence Program. To find out if a clinical program is offered for your patient's medication or which specialty pharmacy your patient should use, please visit the medication index page and click on the medication name.
You can find information related to drug policies, administrative guide protocols, supply limits and special requirements, if any, by visiting the medication index page and selecting the medication you have questions about. Full UnitedHealthcare medical and drug policies are available at UHCOnline.com.
A specially trained pharmacist routinely assesses your patient's specialty medication regimen to make sure that the right results are being achieved. The pharmacist may notify you of an adverse drug effect, drug interaction, adherence issue, or depression screen outcome — or ask you to clarify a diagnosis or dosage. We appreciate your collaboration with and response to the pharmacists who are working to support the best possible outcomes from the treatment you and your patient decide on.
Looking for medication guidelines?
All the information you need is right here.
Visit the medication index page, click on the medication, and select the "Medication Guidelines" tab to find: