UnitedHealthcare Community Plan’s pharmacy benefits manager, OptumRx, offers the vaccines listed in
the following chart for UnitedHealthcare Community Plan members ages 21 and older in STAR and
STAR+PLUS plans.
Use of National Drug Code (NDC)
When you bill vaccines and immunizations with dates of service from 2017 and in 2018, please use the
correct National Drug Code (NDC) for the vaccine as published by Medi-Span® and listed below:
*Please see attached for more information.