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Formulary
Medicaid
Duals
2024
2024 Duals formulary (list of covered drugs)
Dual plans
Minnesota Senior Health Options
Connect + Medicare
See formularies with cost estimates.
Drug search
More formulary information
Document
Last Updated Date
UCare's MSHO and UCare Connect + Medicare List of Covered Drugs (Formulary) (PDF)
UCare's MSHO and UCare Connect + Medicare List of Covered Drugs (Formulary) Hmong (PDF)
UCare's MSHO and UCare Connect + Medicare List of Covered Drugs (Formulary) Somali (PDF)
12/1/2024
11/18/2024
11/18/2024
Prior Authorization Criteria (PDF)
12/1/2024
UCare Formulary Exception Criteria (PDF)
4/1/2024
Formulary Change Notice (PDF)
11/1/2024
Diabetic Supplies List (PDF)
5/1/2024
Non-Preferred CGM and Testing Criteria (PDF)
10/1/2024
Part B Medical Injectable Drug Authorization List (PDF)
11/13/2024
MSHO Part D Information
UCare Connect + Medicare Part D Information
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