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 ...

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 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 ...

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 ...

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, ...