Who is affected by this change?

This affects UnitedHealthcare Oncology, Rheumatology, Neurology, Gastroenterology, Dermatology, Ophthalmology providers on All Plans plans.

When does this change take effect?

This change is effective May 1, 2026.

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All PlansCoverageMedium impact

Specialty Medical Injectable Drug program updates

UnitedHealthcare·Oncology, Rheumatology, Neurology +3 more·Policy and protocol updates

Effective date

May 1, 2026

We identified it

Jun 13, 2026

Days to comply

—

Summary

UnitedHealthcare has updated their Specialty Medical Injectable Drug program with changes to drugs requiring review at launch, program requirements and policies. Specific details are available in the Medical Benefit Specialty Drug Update Bulletin that providers need to access for complete information.

Action Required

Action needed

By May 1, 2026: Billing team and providers must access and review the Medical Benefit Specialty Drug Update Bulletin at the UnitedHealthcare provider portal to understand new specialty injectable drug requirements, prior authorization changes, and updated policies. Update billing workflows and prior authorization processes based on the bulletin's specific requirements.