2021 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 4/1/21
Prior Authorization Criteria
(PDF) (updated 4/1/21)
Step Therapy Criteria
(PDF) (updated 4/1/21)
Diabetic Supplies List
(PDF)
Preferred Alternative Drugs (PDF) (coming soon)
Part B Medical Injectable Drug Authorization List
(PDF) (updated 2/1/21)
MSHO Part D Information
UCare Connect + Medicare Part D Information
H2456_3953_102020
U3953 10/2020