Banner Health Plans (BHP) provides updates to the drug lists periodically. Below are the AHCCCS Drug Formulary and the Pharmacy Prior Authorization Criteria.
AHCCCS Drug Formulary | Effective October 1, 2024
Pharmacy Prior Authorization Criteria (Guidelines) | Effective October 1, 2024
Pharmacy Prior Authorization Criteria (Guidelines) | Effective November 1, 2024
Banner Medicaid Internal Criteria | Effective November 1, 2024