2026 Formulary (Drug List) for BSW SeniorCare Advantage Plans
This formulary lists covered drugs, tiers, and utilization controls (prior authorization, quantity limits, step therapy, billing directives) for BSW SeniorCare Advantage Medicare Part D plans and explains how to use the formulary, change notifications, and exception/transition processes.
Formulary updated on 04/01/2026.
Coverage Summary
Formulary Coverage and Restrictions
Covered when ALL of the following are met:
ALL of the following
- Drug is listed on the Baylor Scott & White Health Plan formulary (Drug List) current as of the effective date and has not been removed from the market.
- Prescription is filled at a Baylor Scott & White Health Plan network pharmacy, or other pharmacy arrangements allowed by the plan (e.g., mail-order) are followed as specified in the Evidence of Coverage.
- Other plan rules are followed, including prior authorization, quantity limits, step therapy requirements, and formulary tier cost‑sharing rules when applicable.
- Drug is determined to be medically necessary for the member by the prescriber and documentation supports the clinical indication.
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