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2025 Medical Assistance (Medicaid) list of covered drugs (formulary)

Medical Assistance plans

  • Prepaid Medical Assistance Program
  • MinnesotaCare
  • Minnesota Senior Care Plus
  • Connect

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

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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