In This Issue
- September 2017
- August 2017
- July 2017
- June 2017
- May 2017
- April 2017
- March 2017
- February 2017
- January 2017
- December 2016
- November 2016
- October 2016
Local and Other News
Be the first to know about new products, services, health care reform and more by subscribing to our newsletter. Visit our Profile and Preference Center to sign up today.
New prior authorization required for specialty asthma medication Fasenra – effective April 1
January 10, 2018
The U.S. Food and Drug Administration (FDA) recently approved Fasenra (benralizumab), a specialty injectable medication used to treat patients with severe asthma who have an eosinophilic phenotype. For dates of service before April 1, 2018, we strongly encourage providers request pre-service coverage reviews so they can check whether a medication is covered before providing services. Starting April 1, 2018, providers will need to request prior authorization if they choose to prescribe Fasenra (benralizumab) to their patients who are UnitedHealthcare Commercial members.
The notification/prior authorization requirement will apply to all UnitedHealthcare commercial plans including:
- UnitedHealthcare of the Mid-Atlantic
- UnitedHealthcare Oxford
- Neighborhood Health Partnership (NHP)
- UnitedHealthcare of the River Valley
Failure to complete the Prior Authorization process prior to the administration could result in claim denial. Health care providers cannot bill members for services that are denied for failure to complete the Prior Authorization process.
For more information, visit UnitedHealthcare’s Specialty Pharmacy Information Center or contact your UnitedHealthcare representative.
January 1, 2017 PDL Updates
The following updates will take effect for the OptumRx direct Prescription Drug Lists (PDLs) on January 1, 2017. Learn more
New Sales Automation Management Tool
Check out our new Sales Automation Management (SAM). Learn more
UnitedHealth Group News
Visit our newsroom for the latest about programs, reports and initiatives designed to help people live healthier lives.