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Specialty Medical Injectable Drug program updates
UnitedHealthcare·Oncology, Rheumatology, Gastroenterology +2 more·Policy and protocol updates
Effective date
Aug 1, 2026
We identified it
Aug 2, 2026
Summary
UnitedHealthcare has issued an update to their Specialty Medical Injectable Drug program effective August 2026. The policy includes changes to drugs added for review at launch, program requirements, and related policies. However, the specific policy details are not accessible in the provided source material—only a landing page link is available.
Action Required
By August 1, 2026: Billing team must access the complete Medical Benefit Specialty Drug Update Bulletin from the UnitedHealthcare Provider Portal (https://www.uhcprovider.com/en/resource-library/news/2026/sdub-updates-aug-2026.html) to identify specific injectable drugs affected, prior authorization requirements, and updated billing codes. Update billing software, encounter forms, and provider communication materials accordingly. Establish internal training for clinical and billing staff on new program requirements. Claims for specialty injectable drugs submitted without compliance to the updated requirements will be at risk for denial or delay.