Pharmacy Benefit change for UnitedHealthCare Commercial Plans– starting 01/01/2020-biologics Taltz and Siliq will no longer be COVERED (where state law allows) , for the UnitedHealthCare Commercial Plans.
The other preferred/covered biologics are:
Humira
Cimzia
Cosentyx
Simponi
Skyrizi
Stelara
Tremfya
*Please check out the pharmacy criteria for the coverage of these above mentioned biologics.
** The pharmacy WILL NOT automatically substitute Taltz or Siliq for the covered medications. Provider will need to write a NEW prescription and send it over to the pharmacy (to help reduce the out of pocket cost, for the patients).
KR2 Medical Billing 