Skip to navigation Skip to content Skip to footer
spark light blue

2023 UCare Medicare Group Plans Formulary (List of Covered Drugs)

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

Group Medicare Formulary (List of Covered Drugs) (PDF) Updated 12/1/2023
Group Medicare Formulary (List of Covered Drugs) - Spanish (PDF) Updated 12/13/2023

Prior Authorization Criteria (PDF) Updated 12/1/2023
Step Therapy Criteria (PDF) Updated 3/1/2023
UCare Formulary Exception Criteria (PDF) Updated 10/1/2022
Formulary Change Notice (PDF) Updated 8/1/2023

Diabetic Supply List (PDF) Updated 8/1/2023

Part B Medical Injectable Drug Authorization List (PDF) Updated 11/28/2023