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.

File download icon

UCare's MSHO and UCare Connect + Medicare List of Covered Drugs (Formulary) (PDF) Updated 10/06/2019

Prior Authorization Criteria (PDF) (updated 11/15/2019)
Step Therapy Criteria (PDF) (updated 10/11/2019)

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

MSHO Part D Information
UCare Connect + Medicare Part D Information

 

H2456_3953_092019 approved
September 2019