OptumRx : United Healthcare - Pharmacy Vaccine and Immunization / Injection Billing Guidelines

Author: Erica Lawrence/Friday, September 1, 2017/Categories: APCI Choice

UnitedHealthcare Community Plan’s pharmacy benefits manager, OptumRx, offers these vaccines for UnitedHealthcare Community Plan members. These guidelines apply to Medicaid members: STAR, STAR+PLUS age 21 and older.

Use of National Drug Code (NDC) When you bill, please use the correct National Drug Code (NDC) for the vaccine as published by Medi- Span® and included for your convenience here.

*Please see attached for  more information.

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