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 4/01/2019; Effective 5/01/2020) |
 English |
Español |
| Prior Authorization Criteria
(Updated 4/01/2019; Effective 5/01/2020) |
English |
|
| Step Therapy Criteria
(Updated 4/01/2019; Effective 5/01/2020) |
English |
|
| Future Formulary Changes (Updated 2/03/2019; Effective 5/1/2020) |
English |
| Drug Formulary (Comprehensive)
(Updated 5/22/2020; Effective 6/01/2020) |
English |
Español |
| Prior Authorization Criteria
(Updated 5/22/2020; Effective 6/01/2020) |
English |
|
| Step Therapy Criteria
(Updated 5/22/2020; Effective 6/01/2020) |
English |
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.