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.