Over the past two decades the use of step therapy or edits by health insurers has increased significantly. Step therapy, also called step edits, implies that in a given therapeutic class lower cost ...

Have you ever gone to pick up a new prescription medication, only to be told your insurance plan won’t cover it until you try a different medication first? This requirement is an insurance limit known ...

Step therapy protocols should be nationally recognized and always based on clinical guidelines developed by independent medical experts to ensure they are safe for patients. States should establish ...

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 ...

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 ...

A person holding a vitamin bottle while checking prescription instructions in a smartphone. Have you ever gone to pick up a new prescription medication, only to be told your insurance plan won’t cover ...