-
Actemra - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Acthar Gel - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Actimmune (interferon gamma-1b) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Actimmune (interferon gamma-1b)
-
ADHD Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
ADHD Products (Stimulants and Non-Stimulants). Adderall XR (amphetamine/dextroamphetamine salts extended release) capsule Adderall (amphetamine/dextroamphetamine salts) tablet Aptensio XR (methylphenidate) capsule 24hr Concerta (methylphenidate) ER tablet Daytrana (methylphenidate) patch Dyanavel XR (amphetamine) suspension Focalin XR (dexmethylphenidate extended release) capsule Methylin (methylphenidate) solution Quillichew ER (methylphenidate extended release) chewable tablet Quillivant XR (methylphenidate) suspension Ritalin LA 10mg (methylphenidate ER) capsule Vyvanse (lisdexamfetamine) capsule Vyvanse (lisdexamfetamine) chewable tablet Amphetamine-dextroamphetamine tablets Atomoxetine capsule Clonidine tablet Clonidine extended release tablet (generic Kapvay) Dexmethylphenidate tablet (generic Focalin) Dextroamphetamine tablet Guanfacine extended release tablet Guanfacine tablet Methylphenidate controlled release/ 24 hr tablet Methylphenidate extended release capsule (generic Metadate CD) Methylphenidate extended release tablet (generic Metadate ER) Methylphenidate tablet
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Afinitor (everolimus) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Afrezza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Afrezza (insulin human)
-
Alecensa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Alinia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Alunbrig (brigatinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Alunbrig™ (brigatinib)
-
Ampyra (dalfampridine) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Anticonvulsants - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Antidepressants - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Antipsychotics - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Antipsychotics. Haldol® (haloperidol) concentrate/tablets* Haldol decanoate® (haloperidol decanoate solution)* Loxitane® (loxapine) capsules* Trilafon (perphenazine) tablets* Mellaril® (thioridazine) tablets* Navane® (thiothixene) capsules* Orap® (pimozide) tablets* Prolixin® (fluphenazine hydrochloride) concentrate/elixir/tablets* Prolixin® (fluphenazine decanoate) solution Stelazine® (trifluoperazine) tablets* Thorazine® (chlorpromazine) tablets /solution* Lithium carbonate capsules/tablets Lithium carbonate CR tablet (Lithobid)* Lithium solution Abilify® (aripiprazole) tablets* Clozaril® (clozapine) tablets/orally dispersible tablet * Geodon® (ziprasidone) capsules* Fazaclo (clozapine orally disintergrating tablet) Latuda (lurasidone) tablets Risperdal® (risperidone) oral solution/tablets* Risperdal M-Tab® (risperidone) orally disintegrating tablet* Seroquel® (quetiapine) tablets* Zyprexa® (olanzapine) tablets* Zyprexa Zydis® (olanzapine) orally dispersible tablet* Abilify Maintena ® (aripiprazole) IM injection Aristada (aripiprazole lauroxil) IM injection
-
Apokyn - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.18.2019
-
Aquadeks - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Arcalyst - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Arikayce - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Austedo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Azole Antifungals - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Sporanox (itraconazole) capsules, Sporanox (itraconazole) oral solution, Onmel (itraconazole) tablets, Vfend (voriconazole) tablets, Vfend (voriconazole) powder for oral suspension, Noxafil (posaconazole) tablets, Noxafil (posaconazole) oral suspension, Cresemba (isavuconazonium) capsules, Tolsura (itraconazole) capsule
-
Azole Antifungals - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Balversa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Balversa (erdafitinib)
-
Belbuca / Butrans - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Benlysta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Benznidazole - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Berinert - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Berinert® (C1 esterase inhibitor, human)
-
Bonjesta and Diclegis - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 10.01.2018
-
Bosulif - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Braftovi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Buphenyl - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Cablivi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Cabometyx - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Calquence - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Caprelsa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.28.2018
-
Carbaglu.docx, Carbaglu - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Carbaglu (carglumic acid)
-
Cayston - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Celebrex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
CGRP.docx, CGRP - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Aimovig (erenumab), Ajovy (fremanezumab), Emgality (galcanezumab)
-
Cholbam - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Cialis for BPH - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Cimzia- ARIZONA.docx, Cimzia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Cimzia (certolizumab pegol)
-
Cinryze.docx, Cinryze - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Cinryze® (C1 esterase inhibitor, human)
-
Ciprodex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Colony Stimulating Factors - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Combination Basal Insulin / GLP-1 Receptor Agonist - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 06.29.2018
-
Cometriq (cabocantinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Cometriq (cabozantinib)
-
Complement Inhibitors (Soliris® & Ultomiris™) -Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Copiktra - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Copper Chelating Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Copper Chelating Agents [Syprine (trientine), Cuprimine (penicillamine), Depen Titratable (penicillamine)]
-
Corlanor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Cosentyx - ARIZONA.docx, Cosentyx - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Cosentyx (secukinumab)
-
Cotellic - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Crestor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Cystaran (cysteamine) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Cystaran (cysteamine) ophthalmic solution
-
Daraprim - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.12.2019
-
Daurismo.docx, Daurismo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Dificid - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Doptelet - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
DPP-4 Inhibitors - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Dry Eye Disease - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Duexis and Vimovo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.16.2019
-
Duopa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Dupixent - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Egrifta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Elidel / Protopic - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.01.2018
-
Emflaza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Enbrel - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Endari - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Entresto - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Epaned - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Erivedge - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Erleada (apalutmide) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Erythropoietic Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Erythropoietic Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Eucrisa.docx, Eucrisa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Eucrisa (crisaborole)
-
Exondys 51 - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Farydak - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Fenofibrate - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Firazyr.docx, Firazyr - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Firazyr (icatibant)
-
Firdapse - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Forteo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Gattex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Gaucher’s Disease Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Gilotrif (afatinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Gilotrif (afatinib)
-
GLP-1 Agonists - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Preferred Products: Victoza (liraglutide), Byetta (exenatide), Bydureon (exenatide extended-release) Non-Preferred Products: Bydureon BCise (exenatide extended-release),Trulicity (dulaglutide), Adlyxin (lixisenatide), Ozempic (semaglutide)
-
Glumetza-Fortamet-Glucophage XR - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 02.19.2019
-
Glumetza-Fortamet-Glucophage XR - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Growth Hormone / Growth Stimulating Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 06.25.2018
-
HCG - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Hemlibra - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Hemophilia Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 02.25.2019
-
Hepatitis C Criteria - ARIZONA.docx, Hepatitis C Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Hepatitis C Agents Preferred Agents: Mavyret™ (glecaprevir/pibrentasvir) Non-Preferred Agents: Daklinza® (daclatasvir), Epclusa (sofosbuvir/velpatasvir), sofosbuvir/velpatasvir (authorized generic of Epclusa), Harvoni™ (ledipasvir/sofosbuvir), ledipasvir/sofosbuvir (authorized generic of Harvoni), Olysio® (simeprevir), Sovaldi® (sofosbuvir), Technivie™ (ombitasvir, paritaprevir, and ritonavir tablets), Viekira Pak™ (ombitasvir, paritaprevir, and ritonavir tablets; dasabuvir tablets), Viekira XR™ (dasabuvir, ombitasvir, paritaprevir, and ritonavir extended-release tablets), Vosevi™ (sofosbuvir/velpatasvir/voxilaprevir), Zepatier™ (elbasvir/grazoprevir)
-
Hetlioz - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Humira - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Hycamtin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Ibrance - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Iclusig - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
ICS.LABA Combo- ARIZONA.docx, ICS.LABA Combination Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Advair HFA (fluticasone/salmeterol) Dulera (mometasone/formoterol) Symbicort (budesonide/formoterol) Advair Diskus (fluticasone/salmeterol) AirDuo (fluticasone/salmeterol) Breo Ellipta (fluticasone/vilanterol) fluticasone/salmeterol (authorized generic of AirDuo) fluticasone propionate/salmeterol diskus (generic for Advair Diskus) Wixela Inhub (generic for Advair Diskus)
-
Idhifa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.28.2018
-
Idiopathic Pulmonary Fibrosis - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Ilaris - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Ilumya- ARIZONA.docx, Ilumya - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Ilumya (tildrakizumab-asmn)
-
Imbruvica - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Immune Globulin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Inbrija.docx, Inbrija - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Inbrija (levodopa inhalation powder)
-
Ingrezza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.28.2018
-
Inhaled Corticosteroids- ARIZONA.docx, Inhaled Corticosteroids - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
ICS Single Agents. Asmanex Twisthaler (mometasone) Flovent HFA (fluticasone) Pulmicort Flexhaler (budesonide) Budesonide 1mg Respule (generic)
-
Inlyta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.28.2018
-
Insulin Pen Needles and Syringes - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 02.19.2019
-
Iressa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Iron Chelators - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Irritable Bowel Syndrome (IBS) Constipation - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Amitiza (lubiprostone), Linzess (linaclotide), Movantik (naloxegol), Trulance (plecanatide), Symproic (naldemedine), Motegrity (prucalopride)
-
Irritable Bowel Syndrome - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Isotretinoin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Jakafi (ruxolitinib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Juxtapid - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Jynarque.docx, Jynarque - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Jynarque (tolvaptan)
-
Kalydeco - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.01.2018
-
Keveyis - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Kevzara- ARIZONA.docx, Kevzara - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Kevzara (sarilumab)
-
Kineret- ARIZONA.docx, Kineret - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Kineret (anakinra)
-
Kisqali - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Korlym - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Kuvan.docx, Kuvan - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Kuvan® (sapropterin dihydrochloride) tablet and powder
-
Kynamro - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Lenvima - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Lidocaine - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Long-Acting Opioid Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.15.2019
Morphine sulfate controlled-release tablets, fentanyl transdermal*, Embeda (morphine sulfate and naltrexone), Xtampza ER (oxycodone extended-release), tramadol extended release tablets (non-biphasic release tablets) Avinza (morphine sulfate extended-release capsules), Exalgo (hydromorphone extended-release), Kadian (morphine sulfate sustained-release capsules), MS Contin [brand name], Opana ERcrush resistant (oxymorphone extended-release), fentanyl transdermal 37.5mcg/hr, 62.5mcg/hr, and 87.5mcg/hr, Zohydro ER (hydrocodone extended-release), oxymorphone ER (generic non-crush resistant), methadone, Arymo (morphine sulfate extended-release tablet) ER, Morphabond ER (morphine sulfate extended-release), Troxyca ER (oxycodone and naltrexone extended-release), Vantrela ER (hydrocodone bitartrate extendedrelease), Hysingla ER (hydrocodone extended release), OxyContin (oxycodone controlled release), Nucynta ER (tapentadol extended release), tramadol extended release capsules, tramadol extended release biphasic release tablets
-
Lonhala and Yupelri - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 02.25.2019
-
Lonsurf - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Lorbrena.docx, Lorbrena - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Lucemyra - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Lynparza (olaparib) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Lyrica - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.28.2018
-
Makena- ARIZONA.docx, Makena - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
17-ALPHA-HYDROXYPROGESTERONE CAPROATE (MAKENA AND 17P)
-
Mavenclad - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Mayzent - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Mekinist - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Mektovi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Mepron - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Migranal - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Mirvaso - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.01.2018
-
Mozobil - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Multaq - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Multaq (dronedarone)
-
Multiple Sclerosis (MS) Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Myalept - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Mytesi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Namzaric - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Namzaric (memantine extended-release/donepezil)
-
Natpara - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Nerlynx - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Nexavar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.28.2018
-
Ninlaro - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Nityr - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Non-Preferred Drugs - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Non-Preferred Drugs
-
Non-Solid Dosage Forms - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
-
Nuplazid - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.02.2018
-
Nuzyra - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.31.1969
Nuzyra (omadacycline) oral tablets
-
Ocaliva (obeticholic acid) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Ocaliva (obeticholic acid)
-
Odomzo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Olumiant - ARIZONA.docx, Olumiant - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Olumiant (baricitinib)
-
Optivar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Orencia- ARIZONA.docx, Orencia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Orencia (abatacept) Subcutaneous
-
Orfadin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Orilissa.docx, Orilissa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Orkambi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
-
Osphena - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Otezla- ARIZONA.docx, Otezla- Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Otezla (apremilast)
-
Oxervate - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
PAH Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Palynziq.docx, Palynziq - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Palynziq (pegvaliase-pqpz)
-
Panretin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Pomalyst (pomalidomide) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
-
Praluent - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
-
Prevymis (letermovir) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Prevymis (letermovir)
-
Procysbi (cysteamine bitartrate) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Procysbi (cysteamine bitartrate)
-
Progesterone - Non-Oral - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
-
Progesterone, Oral - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
-
Promacta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
-
Proton Pump Inhibitors (PPI) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Omeprazole capsule [Prilosec], Pantoprazole sodium tablet, Lansoprazole capsule [Prevacid], Esomeprazole magnesium OTC capsule [Nexium] 24 HR ‐ OTC], Esomeprazole magnesium granule [Nexium Granule Suspension], Lansoprazole solutab [Prevacid Solutab]
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Provigil, Nuvigil.docx, Provigil / Nuvigil - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
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Pulmonary Arterial Hypertension (PAH) Agents - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 06.26.2018
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Pulmozyme - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
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Quantity Limits - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.01.2018
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Ranexa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.01.2018
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Ravicti - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
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Regranex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.28.2018
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Relistor.docx, Relistor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Relistor (methylnaltrexone bromide)
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Renvela - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.28.2018
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Repatha.docx, Repatha - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
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Revlimid - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Rhofade - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Rhofade (oxymetazoline) and Mirvaso (brimonidine)
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Rubraca - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan
Last Published 11.30.2018
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Ruconest - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
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Ruzurgi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.31.1969
Ruzurgi (amifampridine)
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Rydapt (midostaurin) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Rydapt (midostaurin)
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Samsca - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
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Sandostatin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
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Sensipar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
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SGLT-2 Inhibitors - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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SGLT-2 Inhibitors - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Invokana (canagliflozin), Farxiga (dapagliflozin), Jardiance (empagliflozin), Invokamet (canagliflozin/metformin), Xigduo XR (dapagliflozin/metformin extended release), Synjardy (empagliflozin/metformin), Invokamet XR (canagliflozin/metformin extended release), Synjardy XR (empagliflozin/metformin extended release), Steglatro (ertugliflozin), Segluromet (ertugliflozin/metformin)
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Short-Acting Opioid Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.15.2019
Short-Acting Opioids: Includes both brand and generic versions of the listed products unless otherwise noted: All salt forms, single and combination ingredient products, and all brand and generic formulations of the following: Butorphanol nasal spray, codeine, morphine, hydrocodone, hydromorphone, oxycodone, oxymorphone, pentazocine, tramadol, tapentadol, meperidine, levorphanol tartrate, dihydrocodeine, opium, benzhydrocodone Short-Acting Opioids – Cough and cold products: Includes both brand and generic versions of the listed products unless otherwise noted: Products containing codeine or hydrocodone in combinations with one or more of the following: homatropine, chlorpheniramine, guaifenesin, pyrilamine, brompheniramine, phenylephrine, triprolidine, dexchlorpheniramine, promethazine, pseudoephedrine.
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Signifor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
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Siliq - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Siliq (brodalumab)
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Simponi- Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Simponi (golimumab) Subcutaneous
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Sivextro - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Sivextro (tedizolid)
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Somavert - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Somavert® (pegvisomant)
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Soritane - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
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Spinraza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
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Spravato - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Sprycel - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
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Stelara - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Stelara (ustekinumab)
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Stivarga - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Stivarga (regorafenib)
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Strensiq - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Sublingual Immunotherapy (SLIT) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
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Suboxone / Subutex - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Sunosi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.31.1969
Sunosi (solriamfetol)
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Sutent - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.16.2019
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Symdeko - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
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Symjepi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.31.1969
Symjepi
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Symlin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Tafinlar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
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Tagrisso - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
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Takhzyro - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Takhzyro™ (lanadelumab-flyo)
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Taltz - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Taltz (ixekizumab)
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Talzenna - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
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Tarceva - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
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Targretin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
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Tavalisse - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Tegsedi.docx, Tegsedi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
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Temodar - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
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Test Strips, Blood Glucose - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Thalomid (thalomide)- Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Tibsovo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Tibsovo (ivosidenib)
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Tobramycin Inhalation - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 06.17.2019
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Topical NSAIDs.docx, Topical NSAIDs - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
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Topical Retinoid Products - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 02.25.2019
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Trelegy Ellipta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Trelegy Ellipta
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Tremfya - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Tremfya (guselkumab)
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Triptans - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Tykerb - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.28.2018
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Tymlos - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
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Uloric - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Uloric (febuxostat)
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UnitedHealth Pharmaceutical Solutions, Tasigna - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
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Valchlor - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
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Vancomycin - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Vecamyl - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Vecamyl (mecamylamine)
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Venclexta - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
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Verzenio - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Vitrakvi.docx, Vitrakvi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
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Vizimpro - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
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Votrient.docx, Votrient - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
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Vyndaqel and Vyndamax - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Vyndaqel (tafamidis meglumine), Vyndamax (tafamidis)
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Xalkori - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
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Xeljanz and Xeljanz XR - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Xeljanz and Xeljanz XR (tofacitinib)
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Xermelo - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Xermelo (telotristat ethyl)
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Xolair - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Xolair (omalizumab)
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Xospata - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 04.24.2019
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Xtandi - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.28.2018
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Xuriden - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 08.30.2019
Xuriden (uridine triacetate)
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Xyrem - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.28.2018
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Yonsa.docx, Yonsa - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 03.31.2019
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Zejula - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.19.2019
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Zelboraf - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 05.24.2019
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Zolinza - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 01.30.2019
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Zontivity - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 12.28.2018
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Zydelig - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 11.30.2018
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Zykadia - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Zykadia™ (ceritinib)
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Zytiga (abriaterone acetate) - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 07.17.2019
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Zyvox - Clinical Pharmacy Program Guidelines - UnitedHealthcare Community Plan of Arizona
Last Published 09.29.2019
Zyvox (linezolid)