UCare Individual & Family Plans Drug List Search and Formulary

Individual & Family Plans

UCare Individual & Family Plans
- UCare Core, UCare Bronze, UCare Bronze Access, UCare Bronze HSA, UCare Silver StandardRx, UCare Silver HSA, UCare Gold StandardRx and UCare Gold Access
UCare Individual & Family Plans with M Health Fairview
- UCare M Health Fairview Core, UCare M Health Fairview Bronze, UCare M Health Fairview Bronze HSA, UCare M Health Fairview Silver, UCare M Health Fairview Silver HSA and UCare M Health Fairview Gold.

This page is a formulary only. See formularies with cost estimates.

Documents	Last Updated Date
Individual & Family Plans Formulary (PDF)	4/1/2024
UCare Formulary Exception Criteria (PDF)	4/1/2024
Prior Authorization Criteria	10/1/2023
Diabetic Supplies List (PDF)	5/1/2023
Medical Injectable Drug Authorization List (PDF)	4/1/2024
Medication Therapy Management (MTM) – available at no additional cost to members with chronic health conditions who take multiple medicines