With certain prescription drugs, you must use step therapy. This means trying a preferred drug as the first step in treating your medical condition.
The preferred drug is:
- Clinically effective
- Often a generic drug
You can get non-preferred drugs, but only if the preferred drug isn’t effective or tolerated well. This means you must try the preferred drug first. For example, you must try Nexium® before using any other proton pump inhibitor.
Note: You won’t have to switch your prescription drug if you got it filled within 180 days before the implementation of step therapy.