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2025 Medicare Your Choice formulary (list of covered drugs) with cost estimates

Medicare Your Choice plans

  • UCare Your Choice
  • UCare Your Choice Plus

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 Your Choice 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
Your Choice Part D Information
 

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