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Formulary
Medical Assistance
MHCP
2025
2025 Medical Assistance (Medicaid) list of covered drugs (formulary)
Drug search
Formulary documents and information
Documents
Last updated date
Minnesota Health Care Programs List of Covered Drugs (Formulary) (PDF)
12/1/2025
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Arabic (PDF)
12/1/2025
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Hmong (PDF)
12/1/2025
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Russian (PDF)
12/1/2025
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Somali (PDF)
12/1/2025
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Spanish (PDF)
12/1/2025
Prior Authorization Criteria
1/1/2025
UCare Formulary Exception Criteria (PDF)
10/30/2025
Diabetes Supply List (PDF)
5/1/2024
Medical Injectable Authorization List (PDF)
11/17//2025
Non-Preferred Drug Prior Authorization Criteria (PDF)
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