Beginning Jan. 1, 2024, we’re making prescription drug list (PDL) updates for UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual & Family ACA Marketplace plans. This will include medication tier updates, prior authorization requirements, changes to non-formulary status and exclusions from coverage for 19 states.
To see the PDL updates for each state, please visit the Individual Exchange plans page and scroll to the State-specific plan information section.
We’ll communicate with members in advance to allow time for prescription adjustments before the effective date.
If you have questions, please visit UHCprovider.com/exchanges. Or chat with a live advocate 7 a.m.–7 p.m. CT from the UnitedHealthcare Provider Portal. You can also contact UnitedHealthcare Provider Services at 877-842-3210, TTY/RTT 711, 7 a.m.–5 p.m. CT, Monday–Friday.
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