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

2026 Dual Premier (HMO D-SNP) Approved Drug List

›
Formulary
›
Medicare
›
Hidesnp Upcoming Year

Page last updated on: 9/29/25

Downloads

2026 Dual Premier (HMO D-SNP) Approved Drug List
Machine-readable formulary

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

PriorityMedicare® Dual Premier (HMO D-SNP) prior authorization criteria
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 Drug List (MDL)
Medicare Part B drug request form (non-oncology)
Medicare Part B oncology drug request

Learn how to request a drug redetermination (appeal).

Electronic prior authorizations

Medical benefit drugs

Medicare Employer Group

Medicare Individual

Medicare MPSERS

Medicare Dual Premier (HMO D-SNP)

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

© 2025 Priority Health, a Michigan company

Privacy policy
Notice of Privacy Practices (NPP)
Terms of use
Developers
Notice of Nondiscrimination

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services

Shqip
العربية
Assyrian
বাংলা
Bosanski/Hrvatski
Português do Brasil
中文
English
Français
Deutsch
Kreyòl Ayisyen
हिंदी
Italiano
日本語
한국어
Polski
Русский
Srpski
Español
Tagalog
Việt

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.