Skip to navigation Skip to content Skip to footer
spark light blue

2024 Individual & Family Plan Formulary

Individual & Family Plans

  • UCare Individual & Family Plans
    • UCare Core, UCare Bronze, UCare Bronze Access, UCare Bronze HSA, UCare Silver StandardRx, UCare Silver HSA, UCare Gold StandardRx and UCare Gold Access
  • UCare Individual & Family Plans with M Health Fairview
    • UCare M Health Fairview Core, UCare M Health Fairview Bronze, UCare M Health Fairview Bronze HSA, UCare M Health Fairview Silver, UCare M Health Fairview Silver HSA and UCare M Health Fairview Gold.
This page is a formulary only. See formularies with cost estimates.

Drug search

More formulary information

Documents Last Updated Date
Individual & Family Plans Formulary (PDF) 2/1/2024
UCare Formulary Exception Criteria (PDF) 10/1/2022
Prior Authorization Criteria 10/1/2023
Diabetic Supplies List (PDF) 5/1/2023
Medical Injectable Drug Authorization List (PDF) 2/6/2024
Medication Therapy Management (MTM) – available at no additional cost to members with chronic health conditions who take multiple medicines
  

Questions? Call a UCare expert.

Contact our customer service team for assistance

Customer Service