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

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

File download icon

Group Medicare Formulary (List of Covered Drugs) (PDF) Updated 7/1/21

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