Pharmacy Information

UnitedHealthcare Pharmacy Benefit Programs

The information on this website is intended to provide general pharmacy information for UnitedHealthcare members. The information on this site is NOT specific to your benefit plan. If you are a UnitedHealthcare member please register or log on to myuhc.com to find pharmacy information specific to your benefit plan. Whether you are a UnitedHealthcare member or pre-enrollee your pharmacy benefit could differ greatly from the information provided here. This website should only be used for estimating purposes. If you are a pre-enrollee, and you would like to learn more about your specific pharmacy benefit, please contact your employer.

Our Goal
We want to assist you in maximizing your pharmacy benefit and lowering your overall pharmacy costs.

  • Access
    • We provide access to a wide variety of U.S. Food and Drug Administration (FDA) approved prescription medications.
    • There approximately 64,000 retail pharmacies in our network, log in to myuhc.com to use our "Pharmacy Locator" tool to help locate an in-network pharmacy.
  • Affordability
    • Our programs and tools are designed to empower you to make better decisions, live healthier lives and save money on prescription medications.

Prescription Medication Costs
Prescription medication prices are among the fastest growing costs in health care. Our programs and tools are designed to help you make informed decisions about your prescription medication choices and pharmacy product options. At UnitedHealthcare, we want to help you manage your prescription medication costs and get the most out of your pharmacy benefit. One tool you should be familiar with that can help you save money is the Prescription Drug List (PDL).

Your Prescription Drug List (PDL)
The PDL includes the most commonly used medications and groups them on tiers, representing the cost you pay. This cost is decided by your employer or health plan.  Tiering medications makes it easy for you to find other options that will help you save money if the drug you are taking is on a higher tier. It's more than a list of drugs, and can help you manage your costs and find other medication options.

IMPORTANT - These PDLs do not apply to all plans. Log on to myuhc.com to learn about your specific benefit coverage

Here is our 2014 Tier 3 Prescription Drug List effective January 1, 2014

Here is our 2014 Tier 4 Prescription Drug List effective January 1, 2014

Texas Prescription Drug List for renewals January 1 to June 30, 2014

Texas Prescription Drug List for renewals July 1 to Dec 31, 2013

Texas Prescription Drug List for renewals July 1 to Dec. 31, 2012

Louisiana Prescription Drug List

Here is our 2013 3 Tier Prescription Drug List effecive July 1, 2013

Here is our 2014 4 Tier Prescription Drug List effective July 1, 2013

As part of Health Care Reform, health plans must cover certain Preventive Care Medications at no cost to you when:

  • Prescribed by a health care professional
  • Age-and gender-appropriate
  • Filled at a network pharmacy

To comply with the health reform law, UnitedHealthcare is offering:

  • A list of prescription contraceptives available to you on Tier 1, or the lowest tier on your Prescription Drug List (PDL), for no cost. These contraceptives are available now for most benefit plans.
  • The U.S. Preventive Services Task Force A&B Recommendation medications for no cost at point of sale at network pharmacies starting November 1, 2013. These drugs include aspirin, folic acid supplements for women, iron supplements and prescription fluoride for children, and vitamin D supplements for older adults.
  • OTC contraceptives for women at no cost at point of sale at network pharmacies starting November 1, 2013. OTC contraceptives include female condoms, emergency contraceptives, and contraceptive film, foam and gel.

Please see the most commonly used Advantage PDL Preventive Care Medication List and Traditional PDL Preventive Care Medication List. Although these lists may change over time or be different due to your specific plan design, you can always learn the cost of contraceptives for your plan by logging in to myuhc.com, or calling the number on the back of your health ID card.

For more information about Health Care Reform, go to healthcare.gov.

Always refer to your benefit plan materials to determine your coverage for medications and cost-share. Some medications listed on the PDL may not be covered under your specific benefit. Where differences are noted, the benefit plan documents will govern.

What if the Federal Health Reform Law requirements for Preventive Care Medications coverage change?

If the law requiring plans to provide Preventive Care Medications at no cost changes, information on how your costs may be impacted will be available to you by:

       *Visiting myuhc.com

       *Calling the member phone number on the back of your health plan ID card

Health Care Reform - Contraceptive Services Only

The health reform law (Affordable Care Act) requires most health plans to pay for birth control (contraceptives and sterilization) for women at no cost to you. Some nonprofit organizations can choose not to cover birth control (contraceptives) as part of their group health plan for religious reasons. If you are a member of one of these groups (Eligible Organizations), UnitedHealthcare is required to cover certain birth control products and services at no cost to you.

You can use your Contraceptive Services Only ID card to get the birth control services, products and drugs on this list for $0 cost-share if they are:

  • Prescribed by a health care professional such as your doctor
  • For services performed by a network health care professional
  • For products and drugs filled at a network pharmacy

Special Programs

Refill and Save
The Refill and Save Program is designed to help you with prescription medication adherence and can help save you money. If you are covered under an eligible benefit plan, you will receive a $20 savings off your copayment or coinsurance when you refill your prescription for a qualifying medication as prescribed (usually about once per month). The savings is $50 off your copayment or coinsurance for refills of qualifying medications at mail for a 90 day supply.

The savings will automatically be applied to your copayment or coinsurance at the time you pick up your medication. To find out which medications are currently included in the program, and if you are covered under an eligible benefit plan, please call the toll-free member phone number on the back of your health plan ID card.
Qualifying medications:
Asthma: Advair, Dulera
Depression: Pristiq

Specialty Pharmacy Program
Specialty prescriptions medications are high-cost medications used to treat complex conditions such as cancer, Hepatitis C, and multiple sclerosis. If you are taking a specialty medication, use one of our designated specialty pharmacies to fill your prescription. Specialty pharmacies provide educational and clinical support not found in a retail pharmacy. Call the phone number on the back of your health plan ID card or visit uhcspecialtyrx.com to locate a designated specialty pharmacy for your medication.