Commercial products for individual and family coverage available through MNsure, including UCare Choices and UCare Choices with Fairview
UCare for Seniors (UFS), Group UCare for Seniors, UCare Medicare Plans, UCare Medicare Plans with Fairview and North Memorial, EssentiaCare.
UCare Connect + Medicare and Minnesota Senior Health Options (MSHO)
UCare Connect (Special Needs BasicCare), Minnesota Senior Care Plus (MSC Plus), MinnesotaCare (MnCare), Prepaid Medical Assistance Program (PMAP)
The Pharmacy and Therapeutics Committee, a group of practicing physicians and pharmacists, meets up to six times per year to recommend medication inclusion or exclusion to our formularies. The Pharmacy and Therapeutics Committee evaluates drugs based on clinical evidence and efficacy (drug monographs, peer reviewed literature, compendia resources), therapeutic guidelines, medication safety and comparable data to other therapeutic alternatives. This committee reviews all new drugs approved by the FDA, new generics, new dosage forms, new indications as well as regular therapeutic class reviews and annual review of all utilization management criteria.
612-676-3300 or 1-888-531-1493
Hours: 8 a.m. to 5 p.m., Monday through Friday
Read about HCBS billing requirement reminder, Ineligible Provider List update, PANDAS and PANS pediatric autoimmune coverage requirements, SNF CMS Methodology Change and Documentation for Bipolar Disorder.
Starting July 1, 2019, UCare will adopt the Department of Human Services’ (DHS) Preferred Drug List (PDL) for members in Prepaid Medical Assistance Program, MinnesotaCare, Minnesota Senior Care Plus and UCare Connect.
Please see the June 4 Provider Bulletin
Starting April 1, 2019, nutritional supplements such as Boost and Ensure will no longer be covered under the pharmacy benefit for UCare Medicaid members; however, they may be covered under the medical benefit through a Durable Medical Equipment (DME) provider.
This bulletin provides a summary of the UCare pharmacy formulary changes taking effect Jan. 1, 2019. Plan names have changed for 2019 for Medicare plans and Individual & Family plans.
During 2019, UCare will temporarily suspend the requirement for prior authorizations for services delivered to members with UCare Individual & Family Plans and UCare Individual & Family Plans with Fairview.
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