Information by UCare Plan


UCare Individual & Family Plans


Commercial products for individual and family coverage available through MNsure, including UCare Choices and UCare Choices with Fairview

Medicare Programs



UCare for Seniors (UFS), Group UCare for Seniors, UCare Medicare Plans, UCare Medicare Plans with Fairview and North Memorial, EssentiaCare.

Medicare + Medical Assistance


UCare Connect + Medicare and Minnesota Senior Health Options (MSHO)

State Medical Assistance Programs


UCare Connect (Special Needs BasicCare), Minnesota Senior Care Plus (MSC Plus), MinnesotaCare (MnCare), Prepaid Medical Assistance Program (PMAP)


Resources & Information


Electronic Prior Authorization (ePA): 

ePA is the preferred method to submit Prior Authorization requests to Express Scripts. Providers may use ePA through Express Scripts, Surescripts, CoverMyMeds or through the Electronic Health Record.

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.

January 2019 Decisions
November 2018 Decisions
September 2018 Decisions
June 2018 Decisions
March 2018 Decisions
January 2018 Decisions


Pharmacy Benefit Prior Authorization

Express Scripts - State Medical Assistance Programs, 2018 UCare Choicesand 2019 UCare Individual & Family Plans
Phone: 1-877-558-7523
Fax: 1-877-251-5896  
Express Scripts - Medicare, Medicare + Medical Assistance (dual eligibles)
Phone: 1-877-558-7521
Fax: 1-877-251-5896 

Medical Injectable Drug Prior Authorization

UCare Clinical Services Intake - State Medical Assistance Programs
Fax: 612-884-2300
UCare Clinical Services - Medicare, Medicare & Medical Assistance (dual eligibles), 2018 UCare Choices, and 2019 UCare Individual & Family Plans
Fax: 612-884-2094 or 1-866-610-7215 toll free

Specialty Pharmacy Contact Information

Fairview Specialty Pharmacy
Phone: 612-672-5260 or 1-800-595-7140 toll free
Fax: 1-866-347-4939
* exclusive network provider of specialty drugs for 2018 UCare Choices, 2019 UCare Individual & Family Plans, and State Medical Assistance Programs

Mail Order Contact Information

Express Scripts Mail Order Pharmacy
Phone: 1-866-544-7950  
Fax: 1-800-837-0959  
ePrescribing: Express Scripts Home Delivery Pharmacy   
If you have other questions, contact the Provider Assistance Center:

612-676-3300 or 1-888-531-1493
Hours:  8 a.m. to 5 p.m.,  Monday through Friday

Newsletters & Alerts


See Full Provider News Library