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 ...

Insurers argue that step therapy—taking drug treatment one step a time—prevents wasteful spending by directing patients to less expensive, but still effective, treatments. But patient advocacy groups ...

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 ...

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.

Panelists discuss the challenges and evolving landscape of step therapy protocols in hidradenitis suppurativa treatment, emphasizing the impact on patient adherence, the potential benefits of earlier ...

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 ...

This article is part of a Health Affairs Forefront featured series, “Assessing The Evidence For MA Reform.” The series was developed and supported by the research firm, Stage Analytics, through a ...

Young adults with inflammatory bowel disease (IBD) are significantly more likely than those in other age groups to encounter insurance-mandated step therapy, according to a national survey from the ...

Pharmacist George Tadross takes care of a customer at MAC Pharmacy in Cleveland in May 2024. Insurance companies, and the pharmacy benefit management companies that handle prescriptions for them, ...