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

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

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Group Medicare Formulary (List of Covered Drugs) (PDF) Updated 4/1/21

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

Preferred Alternative Drugs (PDF) (coming soon)

Part B Medical Injectable Drug Authorization List (PDF) (updated 2/1/21)

Y0120_2459_8331_092019
U8331 10/2020