Formularies
UCare for Seniors Medicare Advantage: Individual Part D Plans
[Care Type = "Value Plus, Standard D, or Classic" on the member ID card.]
› 2012 Value Plus, Standard D, and Classic Formulary
UCare for Seniors Medicare Advantage: Group Part D Plans
[Care Type = "Group" on the member ID card]
› 2012 Two-Tier Formulary
› 2012 Four-Tier Formulary
UCare's MSHO Plan
› 2012 MSHO Formulary
Drug Coverage Determination Form
Drug coverage determinations should be telephoned to ESI by calling 1-877-558-7521 or filling out the form below and faxing it to them at 1-877-837-5922.
› Drug Coverage Determination Form
Member Reimbursement Claim Forms for Part D Drugs
› Part D Member Claim Form for UCare for Seniors
› Part D Member Claim Form for SNPs