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2025 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)

Formulary and prescription drug calculator

Use this tool to see what you can expect to pay for your medication.

Drug calculator

More formulary information

Documents and Tools
 Last Updated Date
Drug search tool (formulary with coverage limitations and drug requirements)
 10/1/2024
UCare Medicare and EssentiaCare Formulary (List of Covered Drugs) (PDF) 10/1/2024
Prior Authorization Criteria (PDF) 1/1/2025
UCare Formulary Exception Criteria (PDF) 4/1/2024
Formulary Change Notice (PDF) Coming soon
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  

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