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

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Medicare Dual Premier (HMO D-SNP)

Page last updated on: 1/23/26

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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
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Medicare Part B vs Medicare Part D coverage determination form
Hospice coverage determination form

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Medical Drug List (MDL)
Medicare Part B drug request form (non-oncology)
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Learn how to request a drug redetermination (appeal).

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