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Home > Health
Care Professionals > Prescription Drug List
Our Prescription Drug List is a list of prescription medications,
including brand name and generic medications, that have been approved by the
United States Food and Drug Administration (FDA) as safe and effective. It is
a tool that helps guide you and your doctor in choosing medications that allow
the most effective and affordable use of your pharmacy benefit. The Prescription
Drug List is subject to review and modification.
Remember, your patients' pharmacy benefit plan determines their out-of-pocket costs. Here are some general guidelines for a standard three-tier pharmacy plan:
- Tier 1 (formerly generic drugs) is the lowest copayment option.
- Tier 2 (formerly formulary brand name drugs) is the middle copayment option.
- Tier 3 (formerly non-formulary brand name drugs) is the highest copayment option.
To view the Prescription Drug List, visit unitedhealthcareonline.com.
Important Notice
If your patient receives pharmacy benefits through a Maryland employer with 2 to 50 eligible employees, the policies listed below apply.
Certain prescription medications are classified as maintenance medications, meaning they are anticipated to be required for six months or more to treat a chronic condition. Because these medications are used for longer periods of time, we evaluate and approve them a little differently.
If a medication is not on our list of prescription maintenance medications, but you write a prescription for more than a one-month supply, you must request authorization to prescribe the medication as a prescription maintenance medication. To do so, submit medical documentation, including diagnosis and any relevant treatment information, to the Pharmacy Services Department.
To see the prescription maintenance medication list, click here. This list is subject to change.
Question? Call the Professional Services Department at 1-800-342-6141.
* You will need Adobe Acrobat to view some features on this
site. Acrobat is a free program that can be downloaded at www.adobe.com.
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