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United HealthCare Community Plan of Arizona policy

Denied Drug Codes – Pharmacy Benefit Drugs (for Arizona Only)

Denied Drug Codes – Pharmacy Benefit Drugs (for Arizona Only) is a public United HealthCare Community Plan of Arizona policy (policy CS2026D0990AB, effective Jul 1, 2026). It lists 108 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
United HealthCare Community Plan of Arizona
Policy number
CS2026D0990AB
Effective
Jul 1, 2026
Line of business
Medicaid
States
AZ
Source
www.uhcprovider.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther United HealthCare Community Plan of Arizona policies
C9309Policies naming C9309
C9399Policies naming C9399
J0180Policies naming J0180
J0218Policies naming J0218
J0220Policies naming J0220
J0221Policies naming J0221
J0222Policies naming J0222
J0224Policies naming J0224
J0225Policies naming J0225
J0567Policies naming J0567
J0593Policies naming J0593
J0596Policies naming J0596
J0598Policies naming J0598
J0599Policies naming J0599
J0801Policies naming J0801
J0802Policies naming J0802
J1203Policies naming J1203
J1290Policies naming J1290
J1299Policies naming J1299
J1303Policies naming J1303
J1322Policies naming J1322
J1411Policies naming J1411
J1413Policies naming J1413
J1426Policies naming J1426
J1427Policies naming J1427
J1428Policies naming J1428
J1429Policies naming J1429
J1743Policies naming J1743
J1744Policies naming J1744
J1786Policies naming J1786
J1809Policies naming J1809
J1931Policies naming J1931
J2326Policies naming J2326
J2724Policies naming J2724
J2840Policies naming J2840
J2998Policies naming J2998
J3060Policies naming J3060
J3241Policies naming J3241
J3385Policies naming J3385
J3387Policies naming J3387
J3391Policies naming J3391
J3392Policies naming J3392
J3393Policies naming J3393
J3394Policies naming J3394
J3397Policies naming J3397
J3398Policies naming J3398
J3399Policies naming J3399
J3401Policies naming J3401
J3402Policies naming J3402
J3404Policies naming J3404
J3405Policies naming J3405
J3490Policies naming J3490
J3590Policies naming J3590
J7170Policies naming J7170
J7172Policies naming J7172
J7173Policies naming J7173
J7174Policies naming J7174
J7175Policies naming J7175
J7177Policies naming J7177
J7178Policies naming J7178
J7179Policies naming J7179
J7180Policies naming J7180
J7181Policies naming J7181
J7182Policies naming J7182
J7183Policies naming J7183
J7185Policies naming J7185
J7186Policies naming J7186
J7187Policies naming J7187
J7188Policies naming J7188
J7189Policies naming J7189
J7190Policies naming J7190
J7192Policies naming J7192
J7193Policies naming J7193
J7194Policies naming J7194
J7195Policies naming J7195
J7198Policies naming J7198
J7199Policies naming J7199
J7200Policies naming J7200
J7201Policies naming J7201
J7202Policies naming J7202
J7203Policies naming J7203
J7204Policies naming J7204
J7205Policies naming J7205
J7207Policies naming J7207
J7208Policies naming J7208
J7209Policies naming J7209
J7210Policies naming J7210
J7211Policies naming J7211
J7212Policies naming J7212
J7213Policies naming J7213
J7214Policies naming J7214
J9210Policies naming J9210
J9256Policies naming J9256
J9332Policies naming J9332
J9333Policies naming J9333
J9334Policies naming J9334
J9376Policies naming J9376
J9999Policies naming J9999
Q2041Policies naming Q2041
Q2042Policies naming Q2042
Q2053Policies naming Q2053
Q2054Policies naming Q2054
Q2055Policies naming Q2055
Q2056Policies naming Q2056
Q2057Policies naming Q2057
Q2058Policies naming Q2058
Q5139Policies naming Q5139
Q5151Policies naming Q5151

All United HealthCare Community Plan of Arizona policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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