2019 UCare's MSHO and UCare Connect + Medicare
List of Covered Drugs (Formulary)

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

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UCare's MSHO and UCare Connect + Medicare List of Covered Drugs (Formulary) (PDF) Updated 12/01/2019

Prior Authorization Criteria (PDF) Updated 12/01/2019
Step Therapy Criteria (PDF) Updated 02/01/2019

Diabetic Supplies List (PDF)
Preferred Alternative Drugs (PDF) (coming soon)

MSHO Part D Information
UCare Connect + Medicare Part D Information

 

H2456_101018 DHS Approved (10122018) CMS Approved (10302018)
September 2018