Uniform preferred drug list
The uniform preferred drug list simplifies the pharmacy benefit for Medicaid and MinnesotaCare programs. Effective, July 1, 2019, the list reduces the number of preferred drug lists in use from nine to one, making it easier for members, prescribers and pharmacists to understand what medications are covered.
A preferred drug list encourages prescribers and members to choose safe, effective and lower-cost drugs. It includes many commonly used medications. A common drug list means Minnesotans’ medication coverage will remain consistent and avoid disruptions in therapies as they transition between health care programs while also reducing the administrative burden for providers.
Each health plan, or managed care organization, serving Minnesotans on Medicaid and MinnesotaCare must follow the preferred drug list. Medicaid and MinnesotaCare members receiving coverage through a health plan will also have access to drugs on that health plan’s list of covered drugs, or drug formulary.
Nonpreferred drugs require a prior authorization in order for the state to cover the cost of the medication. See the prior authorization criteria for continuation of therapy and nonpreferred drugs.
The preferred drug list does not apply to people with dual Medicare and Medicaid coverage.
Frequently asked questions