2024 Medicare Your Choice formulary (list of covered drugs) with cost estimates
Medicare Your Choice plans
- UCare Your Choice
- UCare Your Choice Plus
More formulary information
Documents and Tools |
Last Updated Date |
Drug search tool (formulary with coverage limitations and drug requirements) |
10/1/2023 |
UCare Your Choice Formulary (List of Covered Drugs) (PDF) UCare Your Choice Formulary (List of Covered Drugs) Spanish (PDF) |
11/1/2024 11/12/2024 |
Prior Authorization Criteria (PDF) | 11/1/2024 |
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 |
Your Choice Part D Information |