The Banner Health pharmacy plans provide prescription drug benefits through a network of participating pharmacies that includes most major drug store chains, Banner Family Pharmacy and a mail-order program. Pharmacy benefits are administered by Aetna. The chart represents Banner Network (max savings tier) level of coverage.
Banner Network coverage highlights
*After deductible unless they are on $0 Medications List or First Dollar list. Applies to Value and Premier.
Stay in network
Pharmacy plans don’t cover medications purchased at non-network pharmacies. If you use an out-of-network pharmacy, you will be responsible for the entire cost of the medication. In-network pharmacies include BFP, CVS, Safeway, Walmart, Kroger, Albertson’s and more. Walgreens pharmacies are not included.
Banner Network coverage highlights are shown here. For complete plan details, click the buttons below.
Value Plan SBC
Premier Plan SBC
Choice Plan SBC
Ongoing or maintenance prescriptions
Filling prescriptions
When you are prescribed a medication that needs to be filled on a monthly basis (for example, birth control, hormones, blood pressure, etc.), you have two options for ordering it after two Rx fills at any in-network retail pharmacy. Subsequent fills must be made by those listed below.
- Banner Family Pharmacy: Banner Family Retail or Home Delivery Service (mail order): Prescriptions are delivered to your door. You will receive a discount of 50% off one month’s copay on the Choice Plus Plan by using our Home Delivery Service for your 93-day supply.
- 93-day retail supply: You can receive up to a 93-day supply of your medication at any retail Banner Family Pharmacy.
Specialty medications
Specialty medications are dispensed by Banner Family Pharmacy — Chandler for 30% coinsurance for the Choice Plus Medical Plan. However, if you participate in the PrudentRx program, you could pay a $0 copay. PrudentRx will find the best savings from manufacturers to help you lower the cost of specialty prescriptions. Choice Plus Plan members will be counseled by Banner Family Pharmacy Specialty upon enrolling in the PrudentRx program.
The Value and Premier Medical Plans cover specialty medications after the deductible and then the applicable coinsurance.
Zero-dollar medications
Under all Banner Health medical plans, if you or dependents have specific medical conditions such as asthma, COPD, cardiovascular disease or diabetes, your medications may be free. These medications must be obtained from Banner Family Pharmacy. To view the $0 Medications List, click here.
