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2023 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 12/1/2023

UCare Formulary Exception Criteria (PDF) Updated 10/1/2022

Prior Authorization Criteria (PDF) Updated 12/1/2023

Diabetic Supplies List (PDF) Updated 5/1/2023
Medical Injectable Drug Authorization List (PDF) Updated 11/28/2023

Medication Therapy Management (MTM) – available at no additional cost to members with chronic health conditions who take multiple medicines