q � Your 2020 Formulary For the most current list of covered medications or if you have questions: Call the number on your member ID card. TDž@R���(o��B�� Aڭ*� ��x�v�-�=�2ȃ�_wje��ʔPf�2H��`� F��[0�L)�������WF�`,�b,��7`� +���+�`� �����`� +�����-F�F��HpI�b���-�k�y-�ׂy-����.,���.,���.,킕&Xi��&Xi��&Xi��&Xi��&Xi��&�ׂy�0�V�cEw����6r��n#����6rXi���6rXi���6r��浃J�M��6��&s�d��A��8s�d*ƙ�8s���������M �q�0�ƙ�8sg��a�9�3�q�0�ƙ�8s�A3� � 3�+1� 0�+%� pG�p �p {���{� LANOXIN) and generic medications in lowercase (for example, digoxin). BB� � .��� ΀3�8΀�8N��8��#�8 �� 8 ��=`����V� �N������G>�fr�Ų>y2����������ޮ��I]y��u驂�kOB]|���S�T��*��T��� Effective Jan. 1, 2020 This Prescription Drug List (PDL) is accurate as of Jan. 1, 2020 and is subject to change after this date. q�A��X&�A�0���( � This formulary applies to members of our UnitedHealthcare West HMO medical plans with a … Visit your plan’s website on your member ID card to: • Find a participating retail pharmacy by ZIP code. }]~Lx���W��Ӌy����>��ޟ/&��Ӻx�����ӣ���tZ�wz���f;}������l�h��C��N��T6����~�\F�������m]�6����!����9����֙wo�/.�_�0#��+�+��Z���V��B�����%=̔��g13� 2020 Prescription Drug List UnitedHealthcare & Affiliated Companies. Your 2020 Formulary For the most current list of covered medications or if you have questions: ... – Your doctor is required to give OptumRx more information : to determine coverage. Below is the Formulary, or drug list, for AARP MedicareRx Preferred (PDP) from Unitedhealthcare Insurance Company. This formulary applies to members of our UnitedHealthcare West HMO medical plans with a pharmacy benefit. 2020 AARP MedicareRx Preferred (PDP) Formulary. :��k���h뀲,�2��#P� 2020 LIST OF COVERED DRUGS (FORMULARY) Prescription drug list information UnitedHealthcare® Senior Care Options (HMO D-SNP) UnitedHealthcare® Senior Care Options NHC (HMO D-SNP) Important Notes: This document has information about the drugs covered by this plan. If this is not an option, you can request an exception to have the plan review its coverage decision based on your individual circumstances. q It can save you money and get the medications you need to help you live a healthier life. 20201 COMPLETE DRUG LIST (FORMULARY) Prescription drug list information AARP® Medicare Advantage (HMO) AARP® Medicare Advantage (HMO-POS) AARP® Medicare Advantage Plan 1 (HMO) AARP® Medicare Advantage Plan 2 (HMO) AARP® Medicare Advantage Plan 3 (HMO) Important Notes: This document has information about the drugs covered by this plan. This formulary is accurate as of September 1, 2020 and is subject to change after this date. Your 2020 Formulary SignatureValue 3-Tier This formulary is accurate as of Jan. 1, 2020 and is subject to change after this date. %PDF-1.6 %���� Your 2020 Comprehensive Formulary Administered by OptumRx® Effective January 1, 2020 Please read: this document contains information about the drugs we cover in this plan. q � contact the OptumRx® pharmacy helpdesk for a level-of-care transition supply override if the member is being discharged with a prescribed drug product that is not on the Formulary or is on the Formulary with restrictions. Your 2020 Formulary SignatureValue 3-Tier This formulary is accurate as of September 1, 2020 and is subject to change after this date. q 2736 0 obj <>stream � This comprehensive formulary was updated on August 28, 2019, and is a complete list of drugs covered by our plan. Most plans have 4 levels of coverage. QL Quantity Limit – Medication may be limited to a certain quantity. 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