2024 UCare Medicare and EssentiaCare list of covered drugs (formulary) with cost estimates
UCare Medicare and EssentiaCare plans
- UCare Medicare Plans (HMO-POS)
- UCare Aware, UCare Classic, UCare Complete, UCare Essentials Rx, UCare Standard
- UCare Advocate Plans (HMO I-SNP)
- EssentiaCare Plans (PPO)
More formulary information
| Documents and Tools |
Last Updated Date |
|---|---|
| Drug search tool (formulary with coverage limitations and drug requirements) |
10/1/2023 |
| UCare Medicare and EssentiaCare Formulary (List of Covered Drugs) (PDF) UCare Medicare and EssentiaCare Formulary (List of Covered Drugs) Spanish (PDF) |
12/1/2024 11/12/2024 |
| Prior Authorization Criteria (PDF) | 12/1/2024 |
| UCare Formulary Exception Criteria (PDF) | 4/1/2024 |
| Formulary Change Notice (PDF) | 11/1/2024 |
| Diabetic Supply 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 |
| UCare Medicare Part D Information | |
| EssentiaCare Part D Information | |
| UCare Advocate Part D Information |