2020 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 10/11/19)
Step Therapy Criteria (PDF) (updated 10/11/19)

Preferred Alternative Drugs (PDF) (coming soon)

Part B Medical Injectable Drug Authorization List (PDF) (updated 12/18/19)

Y0120_2459_8331_092019
October 2019