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Welcome UCare Providers

Pharmacy

Medicare Advantage Plans

 

Effective January 1, 2024, Navitus is the Pharmacy Benefit Manager (PBM) for all UCare members.

UCare Medicare Plans | UCare Medicare Group Plans | UCare Advocate Plans | EssentiaCare | 

UCare Medicare Plans with M Health Fairview & North Memorial | UCare Your Choice Plans

ePA is the preferred method to submit Prior Authorization requests to Navitus for pharmacy benefit drugs. Providers may use ePA through SurescriptsCoverMyMeds  or the Electronic Health Record.

For info on Medical Injectable Drug Prior Authorization requests, see "Medical Injectable Drug Prior Authorization Resources" on the Pharmacy page.

See the Medical Injectable Drugs requiring prior authorization.

Review Medical Drug Policies.

Participating providers can submit prior authorization, authorization adjustment and pre-determination requests to Care Continuum one of the following ways:

  • Online (ePA) via the OnePA Portal at www.EviCore.com. Providers can submit requests, check on the status of submitted requests, and submit an authorization renewal on the OnePA Portal. The site also provides 24/7 access, potential for real-time approvals and email notifications once a decision is reached.
  • Fax an authorization request form to Care Continuum at 1-877-266-1871.
  • Call Care Continuum at 1-800-818-6747.

Non-participating and MultiPlan providers can submit prior authorization, authorization adjustment and pre-determination requests to UCare one of the following ways:

  • Fax an authorization request form to UCare Clinical Pharmacy Intake at 612-617-3948.
  • By mail to UCare, Attn: Pharmacy at P.O. Box 52, Minneapolis, MN 55440-0052.

Providers that receive a claim denial will continue to work through the provider claims appeal process using the Provider Claim Reconsideration Request Form.

Pharmacy Benefit Prior Authorization - Navitus Health Solutions *New PBM for 2024*

Medicare and Medicare + Medical Assistance (dual eligibles)

  • Phone: 1-833-837-4300
  • Fax: 1-855-668-8552

Medical Injectable Drug Prior Authorization

Participating Providers Contact

Care Continuum, a subsidiary of Express Scripts:

  • Online (ePA): OnePA Portal at www.EviCore.com
  • Phone: 1-800-818-6747
  • Fax: 1-877-266-1871

Non-Participating Providers Contact

UCare Clinical Pharmacy Intake

  • Phone: 612-676-6504
  • Fax: 612-617-3948

Fairview Specialty Pharmacy

Lumicera Specialty Pharmacy *New for 2024*

Costco Mail Order Pharmacy *New for 2024*

  • Phone: 1-800-607-6861
  • Fax: 1-877-258-9584
  • ePrescribing: Costco Mail Order Pharmacy #1348

Questions? Contact the Provider Assistance Center 

Phone (local): 612-676-3300
Phone (toll free): 1-888-531-1493 
Hours: 8 am - 5 pm, Monday through Friday