2023 Individual & Family Plans Formulary (List of Covered Drugs)
Download the complete Formulary or search the list of covered drugs below.
Individual & Family Plans Formulary (PDF) Updated 12/1/2023
UCare Formulary Exception Criteria (PDF) Updated 10/1/2022
Prior Authorization Criteria (PDF) Updated 12/1/2023
Diabetic Supplies List (PDF) Updated 5/1/2023
Medical Injectable Drug Authorization List (PDF) Updated 11/28/2023
Medication Therapy Management (MTM) – available at no additional cost to members with chronic health conditions who take multiple medicines