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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 10/1/22

UCare Formulary Exception Criteria (PDF) Updated 9/9/21

Prior Authorization Criteria (PDF) Updated 10/1/22
Medical Injectable Drug Authorization List (PDF) Updated 9/21/22

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