Benefily

UnitedHealthcare prior authorization requirements

Drug-by-drug prior authorization status for UnitedHealthcare’s Medicare Part D plans, taken from the formularies it files with CMS, effective 2026-06-30.

Commonly checked drugs

CMS contract entities grouped under this brand

CMS files name the legal entity, not the brand a person searches for. These are the entities we group under “UnitedHealthcare”, so you can check the grouping yourself.

  • CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.
  • OXFORD HEALTH PLANS (NJ), INC.
  • SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.
  • UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.
  • UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.
  • UNITEDHEALTHCARE COMMUNITY PLAN, INC.
  • UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY
  • UNITEDHEALTHCARE INSURANCE COMPANY
  • UNITEDHEALTHCARE OF FLORIDA, INC.
  • UNITEDHEALTHCARE OF NEW ENGLAND, INC.
  • UNITEDHEALTHCARE OF NEW YORK, INC.
  • UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.
  • UNITEDHEALTHCARE OF THE MIDLANDS, INC.
  • UNITEDHEALTHCARE OF THE ROCKIES, INC.
  • UNITEDHEALTHCARE OF WISCONSIN, INC.
  • UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.
  • UnitedHealthcare Benefits of Texas, Inc.
  • UnitedHealthcare of New England, Inc.