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The PBM Pharmacy Benefit Network includes more than 68, retail pharmacies, including most national and regional chain pharmacies and many neighborhood pharmacies. How you will be charged will depend on your plan type A brand drug has a patented marketing name. Depending on the plan you select, you may be able to get a day supply for the cost of a day supply when using the mail order service. Plan participants and physicians who will be affected are notified of these changes.
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Medications on the list are grouped into four tiers. You can also get up to a day supply at a Retail90 Pharmacy.
- Your pharmacy plan covers thousands of drugs.
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- These costs are decided by your employer or health plan.
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This process will allow you to send and receive clinical documents in a secure, HIPAA-compliant, electronic environment, allowing you more time with your patients and less time on paperwork. These UnitedHealthcare reference documents provide prior authorization, notification and medical necessity coverage criteria for medications with utilization management programs in place.
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