2021 UCare Medicare Group Plans
Formulary (List of Covered Drugs)

Download the complete Formulary or search the list of covered drugs below.

Prior Authorization Criteria (PDF) (updated 7/1/21)
Step Therapy Criteria (PDF) (updated 4/1/21)

Preferred Alternative Drugs (PDF) (coming soon)

Part B Medical Injectable Drug Authorization List (PDF) (updated 6/14/21)

Y0120_2459_8331_092019
U8331 10/2020