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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