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UCare - Providers - Formularies

UCare is pleased to announce that effective January 1, 2010 our Pharmacy Benefit Manager (PBM) has changed to Express Scripts, Inc. (ESI) for all UCare beneficiaries.  ESI replaced CVS Caremark (formerly RxAmerica).  All covered new and refill prescriptions, including mail-order, should be processed through ESI.

UCare and ESI maintains drug formularies for all UCare plans. Below you will find the UCare plans and the links to the Formularies and Prior Authorization and Exception Forms for each of the UCare plans.

 

Click here to go to the Formularies and Prior Authorization and Formulary Exception Forms for Minnesota Health Care Programs (MHCP) and Medicare Supplement plans.

The MHCP and Medicare Supplement plans are as follow:

MHCP

  • Prepaid Medical Assistance Program (PMAP).
  • General Assistance Medical Care (GAMC).
  • MinnesotaCare.
  • UCare Complete.
  • UCare Connect.*

Medicare Supplement Plan

  • SeniorSelect

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Click here to go to the Formularies and Prior Authorization Form for Medicare Advantage and Special Needs Plans.

The Medicare Advantage and Special Needs Plans are as follow:

Medicare Advantage Plans 

  • UCare for Seniors, individual and group members.

Special Needs Plans

  • UCare's Minnesota Senior Health Options (MSHO).**
  • UCare Connect.**

 

*Not dual-eligible with Medicare
**Dual-eligible with Medicare

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