Minnesota Health Care Programs List of Covered Drugs (Formulary)
Download the complete Formulary or search the list of covered drugs below.
Minnesota Health Care Programs List of Covered Drugs (Formulary) (PDF) Updated 3/1/23
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Arabic (PDF) Updated 3/1/23
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Hmong (PDF) Updated 3/1/23
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Russian (PDF) Updated 3/1/23
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Somali (PDF) Updated 3/1/23
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Spanish (PDF) Updated 3/1/23
Minnesota Health Care Programs List of Covered Drugs (Formulary) - Vietnamese (PDF) Updated 3/1/23
Prior Authorization Criteria (PDF) Updated 3/1/23
Medical Injectable Authorization List (PDF) Updated 1/24/23
Continuation of Therapy Prior Authorization Criteria (PDF)
Non-Preferred Drug Prior Authorization Criteria (PDF)
Medication Therapy Management (MTM) - available at no additional cost to members with chronic health conditions who take multiple medicines.