WebUtilization Management (UM) Program Requirements [ Download] Premium, select, and premium value formulary um drug lists - effective January 1, 2024 Premium Prior Authorization [ Download] Premium Quantity Limit [ Download] Premium Step Therapy [ Download] Select Prior Authorization [ Download] Select Quantity Limit [ Download] WebA 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-rounded care and treatment. Your plan will generally cover the drugs listed in our drug list as long as: l The drug is used for a medically accepted indication
Prescription Drug List - OptumRx
WebPrior authorization The following categories require prior authorization. You, your doctor or a representative may submit a request for coverage. Drugs not listed on the formulary list will need prior authorization before the plan will cover them, for safety and cost reasons. WebPremium Value Formulary - OptumRx highlight current date row in excel
Forms & Resources for Health Care Professionals Optum
WebOptum Infusion Pharmacy referral/enrollment form chronic inflammatory disorders such as Crohn's disease, ulcerative colitis, and rheumatoid arthritis. Send us the referral and we … WebGet a list of codes for the Optum Care–Colorado. Learn more. Provider quick reference guide. Get important details for the Indiana market. ... Comprehensive formulary. Get a list of covered medications for Optum Care in Utah. Learn more. Attestation forms and HCC codes. Find answers about attestation forms and HCC codes. ... WebContact Information. For assistance with mail order or specialty medication: OptumRx Call (toll free): 844.568.4150. OptumRx Specialty Pharmacy: 855.427.4682. For assistance with benefits and coverage: WHA Member Services: 888.563.2250. highlight current day in excel