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.
UCare's MSHO and UCare Connect + Medicare List of Covered Drugs (Formulary) (PDF) Updated 10/01/2019
Prior Authorization Criteria
(PDF) Updated 10/01/2019
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