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UCare Advocate Choice 2023 Formulary (List of Covered Drugs)

Download the complete Formulary or search the list of covered drugs below.

Tier Deductible 30 day supply - standard cost share 90 day supply - preferred mail order
Tier 1
Preferred generic drugs
Deductible does not apply to this tier $8 copay Available for two copays
Tier 2
Generic drugs
Deductible does not apply to this tier $16 copay Available for two copays
Tier 3
Preferred brand drugs
$125 $45 copay Available for two copays
Select insulins Deductible does not apply to select insulin $35 copay
Tier 4
Non-preferred drugs
$125 40% coinsurance Available for 40% coinsurance
Tier 5
Specialty drugs
$125 29% coinsurance Available for 29% coinsurance






Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible. Call Customer Service for more information.


Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible.