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 (BUCA) 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 4/01/2019; Effective 5/01/2019)

 English Español

Prior Authorization Criteria

(Updated 4/01/2019; Effective 5/01/2019)

 English

Step Therapy Criteria

(Updated 4/01/2019; Effective 5/01/2019)

 English

Future Formulary Changes (May 2019)

(Updated 3/01/2019; Effective 5/01/2019)

 English

Future Formulary Changes (June 2019)

(Updated 4/01/2019; Effective 6/01/2019)

 English

Future Formulary Changes (July 2019)

(Updated 5/01/2019; Effective 7/01/2019)

 English

Medicaid

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