2025 Medicaid list of covered drugs (formulary)
Medicaid plans
- Prepaid Medical Assistance Program
- MinnesotaCare
- Minnesota Senior Care Plus
- Connect
This page is a formulary only. See formularies with cost estimates.
Drug search
More formulary information
| Documents | Last updated Date |
|---|---|
| Minnesota Health Care Programs List of Covered Drugs (Formulary) (PDF) | 12/18/2024 |
| Prior Authorization Criteria | 1/1/2025 |
| Diabetes Supply List (PDF) | 5/1/2024 |
| Medical Injectable Authorization List (PDF) | 1/8/2025 |
| Non-Preferred Drug Prior Authorization Criteria (PDF) | |
| Medication Therapy Management (MTM) — available at no additional cost to members with chronic health conditions who take multiple medicines. |