Our Drug Formulary is a list of covered drugs (both generic and brand name)
selected by Nascentia Health Plus in consultation with a team of healthcare providers to offer prescription therapies believed to be an important part of a quality prescription program.
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2026 Nascentia Dual Advantage (D-SNP)
2025 Nascentia Dual Advantage (D-SNP)
2026 Nascentia Skilled Nursing Facility (I-SNP)
2025 Nascentia Skilled Nursing Facility (I-SNP)
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Nascentia Health Plus will generally only cover the drugs listed in the formulary, unless your health care provider contacts Nascentia Health Plus and obtains prior approval.
2026
Search online Drug Formulary
or Download Drug Formulary files:
- 2026 Drug Formulary (pdf), updated 9/25/2025
- A formulary is a list of covered drugs selected by Nascentia Health Plus, in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.
- 2026 Prior Authorizations (pdf), updated 9/25/2025
- Nascentia Health Plus requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from Nascentia Health Plus before you fill your prescriptions. If you don’t get approval, Nascentia Health Plus may not cover the drug.
- 2026 Step Therapy (pdf), updated 9/25/2025
- In some cases, Nascentia Health Plus requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, Nascentia Health Plus may not cover Drug B unless you try Drug A first. If Drug A does not work for you, then Nascentia Health Plus will then cover Drug B.
2025
Search online Drug Formulary
or Download Drug Formulary files:
- 2025 Drug Formulary (pdf), updated 10/01/2025
- A formulary is a list of covered drugs selected by Nascentia Health Plus, in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.
- 2025 Prior Authorizations (pdf), updated 10/01/2025
- Nascentia Health Plus requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from Nascentia Health Plus before you fill your prescriptions. If you don’t get approval, Nascentia Health Plus may not cover the drug.
- 2025 Step Therapy (pdf), updated 10/01/2025
- In some cases, Nascentia Health Plus requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, Nascentia Health Plus may not cover Drug B unless you try Drug A first. If Drug A does not work for you, then Nascentia Health Plus will then cover Drug B.
Last Updated on October 13, 2025
