2022 Individual & Family Plans Formulary (List of Covered Drugs)
Download the complete Formulary or search the list of covered drugs below.
Individual & Family Plans Formulary (PDF) Updated 12/1/22
UCare Formulary Exception Criteria (PDF) Updated 9/9/21
Prior Authorization Criteria (PDF) Updated 12/1/22
Medical Injectable Drug Authorization List (PDF) Updated 11/15/22
Medication Therapy Management (MTM) – available at no additional cost to members with chronic health conditions who take multiple medicines