UnitedHealthcare

Source: PDF · Formulary date: Sep 23, 2026 · Checked for updates: 4 hours, 37 minutes ago

17
Plans
20567
Drug Entries

Plans

Plan Name Plan ID Year Market
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) 54332NC0030033 2026 Marketplace
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) 54332NC0060010 2026 Marketplace
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) 54332NC0030026 2026 Marketplace
UHC Bronze Standard (HSA, $0 Insulin, No Referrals) 54332NC0030030 2026 Marketplace
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) 54332NC0060005 2026 Marketplace
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) 54332NC0030040 2026 Marketplace
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) 54332NC0060007 2026 Marketplace
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) 54332NC0030035 2026 Marketplace
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) 54332NC0060009 2026 Marketplace
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) 54332NC0030022 2026 Marketplace
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) 54332NC0030039 2026 Marketplace
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) 54332NC0060006 2026 Marketplace
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) 54332NC0030042 2026 Marketplace
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) 54332NC0060008 2026 Marketplace
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) 54332NC0030027 2026 Marketplace
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) 54332NC0030020 2026 Marketplace
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) 54332NC0060004 2026 Marketplace
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