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2026 Individual & Family Plan 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.

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Formulary documents and information

Documents Last updated date
Individual & Family Plans Formulary (PDF)
Coming soon
UCare Formulary Exception Criteria (PDF)
4/28/2025
Prior Authorization Criteria
Coming soon
Diabetic Supplies List (PDF)
5/1/2024
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
 

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