UnitedHealthcare coverage policies

UHC-POL-viltepso

Viltepso (Viltolarsen)

Effective May 1, 2026

UHC-EXCH-MD-VILTEPSO

Viltepso (Viltolarsen) – Commercial and Individual Exchange Medical Benefit Drug Policy

UHC-COMM-MD-VILTEPSO-CS

Viltepso (Viltolarsen) – Community Plan Medical Benefit Drug Policy

UHC-CG-VIOLENCE-AND-ABUSE-E4115AC83C

Violence and Abuse

UHC-COMM-MD-VIRTUAL-UPPER-GASTROINTESTINAL-ENDOSCOPY-CS

Virtual Upper Gastrointestinal Endoscopy

UHC-EXCH-MD-VIRTUAL-UPPER-GASTROINTESTINAL-ENDOSCOPY

Virtual Upper Gastrointestinal Endoscopy

UHC-COMM-MD-VISUAL-INFORMATION-PROCESSING-EVALUATION-ORTHOPTIC-VISION-THERAPY-CS

Visual Information Processing Evaluation and Orthoptic and Vision Therapy

UHC-EXCH-MD-VISUAL-INFORMATION-PROCESSING-EVALUATION-ORTHOPTIC-VISION-THERAPY

Visual Information Processing Evaluation and Orthoptic and Vision Therapy

UHC-POL-visual-information-processing-evaluation-orthoptic-vision-therapy

Visual Information Processing Evaluation and Orthoptic and Vision Therapy

Effective Jan 1, 2026

UHC-COMM-RP-UHCCP-VITAMIN-B12-TESTING-POLICY

Vitamin B12 Testing Policy, Professional and Facility

UHC-EXCH-RP-COMM-VITAMIN-B12-TESTING-POLICY

Vitamin B12 Testing Policy, Professional and Facility

UHC-POL-COMM-Vitamin-B12-Testing-Policy

Vitamin B12 Testing Policy, Professional and Facility

UHC-COMM-RP-UHCCP-VITAMIN-D-TESTING-POLICY

Vitamin D Testing Policy, Professional and Facility

UHC-EXCH-RP-COMM-IEX-VITAMIN-D-TESTING-PRO-FACILITY

Vitamin D Testing Policy, Professional and Facility

UHC-POL-COMM-IEX-Vitamin-D-Testing-Pro-Facility

Vitamin D Testing Policy, Professional and Facility

UHC-POL-vyepti

Vyepti (Eptinezumab-Jjmr)

Effective Sep 1, 2026

UHC-EXCH-MD-VYEPTI

Vyepti (Eptinezumab-Jjmr) – Commercial and Individual Exchange Medical Benefit Drug Policy

UHC-COMM-MD-VYEPTI-CS

Vyepti (Eptinezumab-Jjmr) – Community Plan Medical Benefit Drug Policy

UHC-POL-vyjuvek

Vyjuvek (Beramagene Geperpavec-Svdt)

Effective Jan 1, 2026

UHC-COMM-MD-VYJUVEK-CS

Vyjuvek (Beramagene Geperpavec-Svdt) – Community Plan Medical Benefit Drug Policy

UHC-EXCH-MD-VYJUVEK-IEX

Vyjuvek (Beramagene Geperpavec-Svdt) – Individual Exchange Medical Benefit Drug Policy

UHC-POL-vyondys-53

Vyondys 53 (Golodirsen)

Effective May 1, 2026

UHC-EXCH-MD-VYONDYS-53

Vyondys 53 (Golodirsen) – Commercial and Individual Exchange Medical Benefit Drug Policy

UHC-COMM-MD-VYONDYS-53-CS

Vyondys 53 (Golodirsen) – Community Plan Medical Benefit Drug Policy

UHC-POL-white-blood-cell-colony-stimulating-factors

White Blood Cell Colony Stimulating Factors

Effective Sep 1, 2026

UHC-EXCH-MD-WHITE-BLOOD-CELL-COLONY-STIMULATING-FACTORS

White Blood Cell Colony Stimulating Factors – Commercial and Individual Exchange Medical Benefit Drug Policy

UHC-COMM-MD-WHITE-BLOOD-CELL-COLONY-STIMULATING-FACTORS-CS

White Blood Cell Colony Stimulating Factors – Community Plan Medical Benefit Drug Policy

UHC-COMM-MD-WHOLE-EXOME-WHOLE-GENOME-SEQUENCING-CS

Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions)

UHC-EXCH-MD-WHOLE-EXOME-AND-WHOLE-GENOME-SEQUENCING

Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions)

UHC-POL-whole-exome-and-whole-genome-sequencing

Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions)

Effective Oct 1, 2026

UHC-OXADM-WIGS-OHP

Wigs

UHC-COMM-RP-UHCCP-WRONG-SURGICAL-OTHER-INVASIVE-PROCEDURES-NEVER-EVENTS-POLICY-R0117

Wrong Surgical or Other Invasive Procedures Policy, Professional and Facility

UHC-EXCH-RP-COMM-WRONG-SURGICAL-OR-OTHER-INVASIVE-PROCEDURES-POLICY

Wrong Surgical or Other Invasive Procedures Policy, Professional and Facility

UHC-POL-COMM-Wrong-Surgical-or-Other-Invasive-Procedures-Policy

Wrong Surgical or Other Invasive Procedures Policy, Professional and Facility

UHC-POL-xiaflex

Xiaflex (Collagenase Clostridium Histolyticum)

Effective Jan 1, 2026

UHC-COMM-MD-XIAFLEX-CS

Xiaflex (Collagenase Clostridium Histolyticum) – Community Plan Medical Benefit Drug Policy

UHC-EXCH-MD-XIAFLEX-IEX

Xiaflex (Collagenase Clostridium Histolyticum) – Individual Exchange Medical Benefit Drug Policy

UHC-POL-xolair-omalizumab

Xolair (Omalizumab)

Effective Oct 1, 2025

UHC-COMM-MD-XOLAIR-OMALIZUMAB-CS

Xolair (Omalizumab) – Community Plan Medical Benefit Drug Policy

UHC-EXCH-MD-XOLAIR-OMALIZUMAB-IEX

Xolair (Omalizumab) – Individual Exchange Medical Benefit Drug Policy

UHC-POL-zolgensma

Zolgensma (Onasemnogene Abeparvovec-Xioi)

Effective Oct 1, 2026

UHC-COMM-MD-ZOLGENSMA-CS

Zolgensma (Onasemnogene Abeparvovec-Xioi) – Community Plan Medical Benefit Drug Policy