2025 Medicare Your Choice formulary (list of covered drugs) with cost estimates
Formulary documents and information
| Documents and Tools |
Last updated date |
|---|---|
| Drug search tool (formulary with coverage limitations and drug requirements) |
10/1/2024 |
| UCare Your Choice Formulary (List of Covered Drugs) (PDF) | 9/1/2025 |
| UCare Your Choice Formulary (List of Covered Drugs) Spanish (PDF) |
8/1/2025 |
| Prior Authorization Criteria (PDF) | 9/1/2025 |
| UCare Formulary Exception Criteria (PDF) | 4/28/2025 |
| Formulary Change Notice (PDF) | 6/4/2025 |
| Diabetic Supply List (PDF) | 1/1/2025 |
| Non-Preferred CGM and Testing Criteria (PDF) | 10/1/2024 |
| Part B Medical Injectable Drug Authorization List (PDF) | 8/12/2025 |
| Part D Information |