Pharmacy
Banner – University Health Plans (B – UHP) is focused on ensuring that our members have access to high-quality, affordable drug therapy. Our health plan covers prescription medications based on your formulary. A formulary is a list of drugs that are covered by your plan, and it is updated periodically. Check below to review the medications that are available on your formulary.
If you would like to request coverage for a state or federally-reimbursable medication that is not included on this list, complete a Pharmacy Prior Authorization Form located here, and submit it to B – UHP for review. You may also request a prior authorization electronically using CoverMyMeds.
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.
- Comprehensive Formulary | English
(Updated 12/01/2021; Effective 12/01/2021) - Comprehensive Formulary | Español
(Updated 12/01/2021; Effective 12/01/2021)
Some prescriptions require prior authorization from B – UCA before they can be filled. Requests for medications requiring Prior Authorization will be reviewed based on the Prior Authorization Guidelines and Criteria for that medication.
- Prior Authorization Criteria
(Updated 12/01/2021; Effective 12/01/2021) - Step Therapy Criteria
(Updated 12/01/2021; Effective 12/01/2021)
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.
- AHCCCS Drug Formulary | Effective January 1, 2022
- Prior Authorization Guidelines | Updated November 2021
Clinical Pharmacy
MedCare Clinic Pharmacists have completed residency training and are skilled in chronic-disease state management and can provide comprehensive medication reviews, heart failure education and tobacco cessation services and more. Providers can refer patients to the MedCare Clinic using the referral form below. For more details about the services provided at each location, please review the fact sheets below.