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 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 ...

Getting coverage authorization for certain medications from Medicare may require you to try a cheaper drug first. This is called “step therapy.” Medicare Part D offers general prescription drug ...

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 ...

Key opinion leaders discuss the challenges associated with step therapy requirements after initially selecting a drug class, the patient factors considered when deciding to switch a patient with ...

Please provide your email address to receive an email when new articles are posted on . Step therapy, a controversial payer policy, can cause treatment delays and contribute to physician burnout.

Florida lawmakers are considering a bill that would empower health care providers to prescribe the best-suited medications for Floridians on Medicaid suffering from “serious mental illnesses” without ...

Florida’s current step therapy for those on Medicaid prioritizes potential cost savings over patient needs, critics say. John Roberge KRT As a longtime advocate for mental health, working alongside ...

Congress is considering legislation that would address misaligned prescription drug cost incentives set by pharmacy benefit managers, or PBMs. I applaud Congress for acting on this pressing issue, ...