Individual & Family Plans UCare Easy Compare Bronze 2026 Formulary (List of Covered Drugs)
Download the complete Formulary or search the list of covered drugs below.
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Find out what tier your medication is Use the drug search tool below to see whether your medication is covered and what tier it is |
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Find out how much your medication costs Use this tier table to see how much your medication costs |
| Tier | What you pay when using in-network pharmacy |
|---|---|
| Tier 1 Prescription drugs |
$25 copay for up to 30-day supply |
| Tier 2 Prescription drugs |
50% coinsurance after deductible |
| Tier 3 Prescription drugs |
50% coinsurance after deductible; $25 copay for up to 30-day supply of formulary generic and brand medications for diabetes (including insulin), asthma, and allergies requiring the use of epinephrine auto-injectors |
| Tier 4 Prescription drugs |
50% coinsurance after deductible |
Formulary documents and information
| Documents | Last updated date |
|---|---|
| Individual & Family Easy Compare Plans Formulary (PDF) |
10/13/2025 |
| UCare Formulary Exception Criteria (PDF) |
4/28/2025 |
| Prior Authorization Criteria |
Coming soon |
| Diabetic Supplies List (PDF) |
10/1/2025 |
| Medical Injectable Drug Authorization List (PDF) |
8/12/2025 |
| Medication Therapy Management (MTM) — available at no additional cost to members with chronic health conditions who take multiple medicines |