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Drug Name Search

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By Therapeutic Class

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2025 Individual and Family Plans Easy Compare Plans Formulary

Welcome

We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

What is a Formulary?

A formulary is a list of covered drugs which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

How to Search For Drugs

  • Use the alphabetical list to search by the first letter of your medication.
  • Search by typing part of the generic (chemical) and brand (trade) names.
  • Search by selecting the therapeutic class of the medication you are looking for.

Legend

TIERING
  • $0
    - Drugs or products covered with a $0 copay
  • 1
    - Preferred Generic Drugs
  • 2
    - Non-Preferred Generic Drugs
  • 3
    - Preferred Brands Drugs
  • 4
    - Non-Preferred Drugs/Specialty Drugs
  • DME
    - Products covered under the DME (Durable Medical Equipment) benefit
  • NF
    - Non-Formulary
Edits
  • QL
    - Quantity limit: There are limits to the amount of drug covered per fill
  • PA
    - Prior authorization is required before we’ll cover the drug
  • MFG
    - Drug coverage is limited to certain manufacturers
  • QL
    - Quantity limit: There are limits to the amount of drug covered per fill
  • PV
    - Drugs covered at $0 for preventive use
  • SF
    - Split Fill: Oncology drugs limited to a 14 or 15 day supply per fill for the first 90-days of therapy
  • EDS
    - Extended Day Supply: Drugs that can be filled for up to a 90-day supply
  • LA
    - Limited Access: Drugs that are only available at certain pharmacies
  • INS
    - Insulins with a $25 copay per one-month supply (applies to copay and HSA plans)
  • CDS
    - CDS: $50 monthly max out of pocket for medical supplies used to treat a chronic disease.
  • CDD
    - CDD: $25 maximum copay per one month supply for drugs used to treat a chronic disease.
  • SP
    - Specialty drugs required to be filled through Fairview Specialty Pharmacy
† Denotes brand name drug, otherwise generic drug
Brand Names
generic names
2025 UCARE EXCHANGE 4-TIER
Effective Date: Jan 1, 2025
Last Updated: Apr 1, 2025