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 ...

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 ...

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 ...

For people with lupus, their relationship with their healthcare team is one of the most important aspects of managing their life with lupus. Step therapy imposes on that relationship in pursuit of ...

SHUTDOWN LAURA FROM HARRISBURG THE STATE SENATE TODAY UNANIMOUSLY APPROVING LEGISLATION STREAMLINING THE PRIOR AUTHORIZATION AND STEP THERAPY PROCESSES FOR MEDICAL TREATMENT THAT MAY SOUND LIKE ...

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 ...

BOSTON (SHNS) – Massachusetts lags more than two dozen other states in placing stronger guardrails around the health insurer practice of requiring patients to use lower-cost drug and treatment options ...

Publisher’s Note: This Health Affairs Blog post is part of a supported set of posts that will be published over the next few months. Health Affairs received support for the series from the American ...

On July 30, the Massachusetts Senate passed legislation to limit the use of step therapy, or “fail-first” protocols that direct patients to cheaper medications rather than those “more suitable” to ...

For years, I’ve watched the barriers my patients face in accessing the treatments I prescribe continue to grow. That is part of the reason I and many other health care professionals and patients ...