Thursday, February 2, 2017

Step Therapy

Goal: To ensure appropriate prescriptive treatment for patients based on a physician’s recommendation.

  • Allow physician override of the step therapy sequence when deemed medically necessary and in the best interest of the patient.
  • If a patient is currently stable on a drug, step therapy cannot be required to continue usage of that drug due to a change in the patient’s health care benefit or plan.
  • Shorten the amount of time to grant a step therapy override.