Important updates to Preventive Medicine List effective for 2019

The UnitedHealthcare health care reform Patient Protection and Affordable Care Act (PPACA) Preventive Medication Lists for Jan. 1, 2019, which reflect a variety of changes, are now available.

Some of the changes, such as those affecting contraceptives and tobacco, affect only specific states, while others, such as Vitamin D coverage, have nationwide impact.

  • Connecticut, Delaware, District of Columbia, Maine and Oregon — These states have set restrictions on allowable medical management for contraceptives. As a result, they now join the preventive drug list already used in Illinois, Maryland and Massachusetts.   
  • Removal of OTC Vitamin D — Over-the-counter Vitamin D is no longer covered at $0 cost-share effective Nov. 1, 2018 in accordance with the U.S. Preventive Services Task Force (USPSTF). 
  • Removal of tobacco PA for California — Effective Jan. 1, 2019 preventive tobacco products no longer require prior authorization (PA) for the California Advantage PPO and California Traditional, Access and Enhanced PPO, PDL and PPACA $0 Cost-share Preventive Medication Lists. 
  • West Virginia — Effective Jan. 1, 2019, preventive tobacco products are no longer subject to prior authorization or the two 90-day treatment course restrictions in West Virginia. 

For further information, contact your UnitedHealthcare representative.

UnitedHealthcare Member Preventive Medication Lists Effective Jan. 1, 2019

Standard

California

Connecticut, District of Columbia, Delaware, Illinois, Massachusetts, Maryland, Maine, Oregon, Washington

Signature Value

To access all UnitedHealthcare HCR PDL’s, visit the pre-login pharmacy page on myuhc.com, and scroll down to the Health Care Reform section.