UnitedHealthcare

NEW PHARMACY PROCEDURES FOR UNITEDHEALTHCARE FOR MAINTENANCE MEDICATIONS

Effective May 1, 2014,  UnitedHealthcare is implementing a new procedure known as the Mail Service Member Select program for members to obtain their maintenance medications.  Click here for the current list(subject to change) of maintenance medications.

After two fills at a retail pharmacy, the program requires the use of home delivery for medication that is taken on a regular basis. However, the member can choose to decline mail service and continue filling their maintenance medication at a retail pharmacy at their normal cost share amount. If a member does not take any action, all additional fills may be at the full out-of-network cost.     The mail order prescriptions are filled by OptumRx Mail Service Pharmacy.

Members will receive a letter explaining the program after the first time they fill a maintenance medication.    The letter will explain that they have the option to transfer their prescription to mail order OR decline the mail service.    Either choice requires a phone call to OptumRX at 1-866-236-1495.  A second contact either  by phone or mail is made after the second refill of the prescription offering the same options.    Again, if a member does not take any action, all additional fills may be at the full out-of-network cost.

Please share this information with your employees.  Click here for the flyer UnitedHealthcare has provided about this  program.

Posted on by Melanie Epstein in UnitedHealthcare Leave a comment