Step therapy is a process your health insurance provider may require before it will cover certain drugs. Many insurance providers require step therapy for Mounjaro (a drug prescribed for type 2 ...

Young adults with IBD are more likely to face step therapy mandates, making clinicians concerned that insurers are ignoring evidence-based guidelines and imperiling outcomes.

Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...

Step therapy occurs when your insurer requires you to use medication alternatives before another, possibly more expensive, treatment option. Depending on specific factors, you can work with your ...

The frequency with which 7 of the largest Medicare Advantage plans impose step therapy protocols in their Part B drug coverage decisions varies substantially. Objectives: First, to examine 7 large ...

Please provide your email address to receive an email when new articles are posted on . Despite a mounting number of state-level laws enacted to protect vulnerable patients against step therapy ...

FACING EXACTLY THAT HERE IN MASSACHUSETTS UNTIL LAST WEEK. YOU MAY HAVE MISSED THIS IN THE RUN UP TO THE MIDTERMS, BUT GOVERNOR BAKER SIGNED A BILL INTO LAW YEARS IN THE MAKING GIVING MORE CONTROL TO ...

Insurers limit the use of certain prescription drugs by requiring step therapy—that is, by allowing access only after alternatives have been tried and have failed. Using data from seventeen of the ...

The Massachusetts House passed a bill which aims to curb the use of step therapy by health insurers. Drugs that are designated with a “step therapy” condition of reimbursement are only paid for by ...