Medications

Back To 2026 HMO D-SNP Plan Materials

Banner Medicare Advantage plans have an extensive list of medications covered under the prescription plan called a “Comprehensive Formulary."

Online Search Tools

You can search this list of covered medications, check medication prices, and see what pharmacies are in-network using our online search tool at the link below. Our most current version of providers and pharmacies will always be updated online.

You can also view our PDF formularies below.

PDF Formularies

Updated 3/13/2026; Effective 4/1/2026

Updated 4/14/2026; Effective 5/1/2026

Pending CMS Approval

Step Therapy Requirements for Medicare Outpatient (Part B) Medications

Effective 1/1/2026

Pharmacy Prior Authorization

The Plan requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval before you fill your prescriptions. If you don’t get approval, we may not cover the drug.

How to Request Prior Authorization:

  1. Download and complete the form – You or your provider can download the Prior Authorization Request Form to submit the necessary information
    • Pharmacy Prior Authorization Form English
  2. Submit the form – Follow the instructions on the form for submission
  3. Wait for approval – Most requests are reviewed within 72 hours for standard requests, or 24 hours for urgent requests

Pharmacy Prior Authorization Grid

Effective 1/1/2026

If you need assistance finding a medication, please call our Customer Care Center at 877-874-3930, TTY 711, 8 a.m. to 8 p.m., seven days a week.