2020 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 12/1/2020

Prior Authorization Criteria (PDF) (updated 12/1/2020)
Step Therapy Criteria (PDF) (updated 2/1/2020)

Diabetic Supplies List (PDF)
Preferred Alternative Drugs (PDF) (coming soon)
Part B Medical Injectable Drug Authorization List (PDF) (updated 9/23/2020)

MSHO Part D Information
UCare Connect + Medicare Part D Information

 

H2456_3953_092019 approved
September 2019