Individuals & Families Medicare Medicaid For Employers For Agents For Providers

Plans & resources

Medications & Pharmacy Find a Doctor

About Contact us

Plans & resources

Find a plan

Member Resources

Medications & Pharmacy Find a Doctor About Contact us

2025 Medicare D-SNP Approved Drug List

›
Formulary
›
Medicare
›
Snp Current Year

Page last updated on: 4/23/25

Downloads

2025 D-SNP Approved Drug List

Some drugs may require your provider to fill out an authorization form.

2025 Medicare Part D prior authorization criteria
2025 Medicare Part D step therapy criteria
Request for Medicare Part D coverage determination
Medicare Part B vs Medicare Part D coverage determination form
Hospice coverage determination form

Drugs covered under the medical benefit

Medical Benefit Drug List (MBDL) (formerly the Injectable Drug List)
Medicare Part B prior authorization criteria
Medicare Part B drug request form (non-oncology)
Medicare Part B oncology drug request

Medical drug-specific forms are linked in the Medical Benefit Drug List.

Learn how to request a drug redetermination (appeal).

Drug Recalls and Market Withdrawals

Information on FDA drug recalls, market withdrawals, and safety alerts can be found here.

ePA Information

Injectable drugs Site of Service policy and billing guidelines

Employer Group Medicare

Individual Medicare Advantage

Get in touch

Priority Health Mobile App

Helpful links

Approved drug list

Mental health support

Our plans

Individual & Family

Log in

Vendors, secure email

Learn

*For J.D. Power 2024 award information, visit jdpower.com/awards

© 2025 Priority Health, a Michigan company

Privacy policy
Notice of Privacy Practices (NPP)
Terms of use
Developers
Non-discrimination notice
Sitemap

Language assistance available

Shqip
العربية
Assyrian
বাংলা
繁體中文
Deutsch
Italiano
日本語
한국어
Polski
Русский
Srpsko-hrvatski
Español
Tagalog
TiếngViệt

Enrollees may receive a copy of their Form 1095-B upon request by calling the customer service number on the back of their Member ID card, by logging into their Priority Health member account or by mailing in a request to Priority Health,1231 East Beltline Ave. NE, Grand Rapids, MI 49525-4501.