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MinnesotaCare 2026 Formulary (List of Covered Prescription and Over-the-Counter Drugs)

Download the complete Formulary or search the list of covered drugs below.

Follow these steps to see the coverage and cost of your medication.

  

Find out what tier your medication is

Use the drug search tool below to see whether your medication is covered and what tier it is


  

Find out how much your medication costs

Use this tier table to see how much your medication costs

Tier Copay Amount
Tier 1
Generic drugs
$10 copay
Tier 1
Brand drugs
$25 copay

 

Notes:

  • No co-pays for pregnant women, children under 21, members in hospice, members residing in a nursing home for 30+ days, or adult members of a federally-recognized American Indian tribe
  • No co-pays for anti-psychotic drugs

 

Formulary documents and information

Documents Last updated date
Minnesota Health Care Programs List of Covered Drugs (Formulary) (PDF) 9/1/2025
Prior Authorization Criteria
UCare Formulary Exception Criteria (PDF)
10/30/2025
Diabetes Supply List (PDF) 5/1/2024
Medical Injectable Authorization List (PDF) 8/12/2025
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.  

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