Starting Nov. 1, 2023, we’ll require all prior authorizations for covered oral chemotherapeutics to be submitted using the Optum® Cancer Guidance Program (CGP). Since this change may require your office to make adjustments to your administrative process, we suggest you start submitting your prior authorization requests through the CGP today.
The option to use the CGP for oral chemotherapeutics became available in 2022 to help simplify the prior authorization process.
CGP manages prior authorization requests for oral chemotherapeutics for most members with UnitedHealthcare commercial plans and UnitedHealthcare Individual Exchange plans.* To be eligible, members must have pharmacy benefits administered by Optum Rx.
For more information, please visit our Prior authorization for oral and injectable chemotherapy and related cancer therapies page.
If you have questions, call us at 888-397-8129, 8 a.m.-5 p.m. local time, Monday-Friday. Or, chat with a live advocate 7 a.m.-7 p.m. CT from the UnitedHealthcare Provider Portal Contact Us page.