| 2008 UnitedHealth RX Enrollment Form |
 |
| 2008 UnitedHealth RX Basic Formulary |
|
| 2008 UnitedHealth RX Value Formulary |
|
| 2008 UnitedHealth RX Value Mail Service Brochure |
|
| 2008 UnitedHealth RX Basic Mail Service Brochure |
|
| 2008 UnitedHealth RX Mail Service Form |
|
| 2008 UnitedHealth RX Pre-Enrollment Booklet |
|
| 2008 UnitedHealth RX Transition Process |
|
| Add Secondary Insurance Form |
|
| Appeals and Grievances and Coverage Determinations |
|
| CMS Model Part D Exception and Prior Auth Request Form (provider Use) |
|
| CMS Model Request for Medicare Prescription Drug Determination Request Form |
|
| Coordination of Benefits Form |
|
| Drug Reimbursement Form |
|
| List of the Most Common Generic Drugs |
|
| Medicare Part D Clinical Prior Authorization Fax Form |
|
| Social Security Administration Form |
|
| UnitedHealth RX Electronic Funds Transfer Form (EFT) |
|
| Low Income Subsidy (LIS) Tip Sheet |
|
