Pharmacy


Drug Formularies

Lists of Covered Drugs

Our health plans each have their own drug formulary and are updated periodically. Our drug formularies represent the prescription therapies believed to be a necessary part of a quality treatment program.


Medicare

Banner – University Care Advantage (B – UCA) updates drug formulary files monthly, which includes the Comprehensive Drug Formulary, Prior Authorization Criteria, Step Therapy Criteria, and Future Formulary Changes. 

 

Drug Formulary (Comprehensive)

(Updated 7/27/2020; Effective 8/01/2020)

PDF IconEnglish PDF IconEspañol
Prior Authorization Criteria

(Updated 7/27/2020; Effective 8/01/2020)

PDF IconEnglish
Step Therapy Criteria

(Updated 7/27/2020; Effective 8/01/2020)

PDF IconEnglish

Future Formulary Changes

(Updated 2/03/2020; Effective 5/1/2020)

PDF IconEnglish

Medicaid

Banner – University Family Care/ACC (B – UFC/ACC) and Banner – University Family Care/Arizona Long Term Care System (B – UFC/ALTCS) provide updates to the drug lists periodically.

PDF Icon B – UFC/ACC Drug Formulary (Effective February 03, 2020) 

PDF Icon B – UFC/ALTCS Drug Formulary (Effective February 03, 2020)