Step Therapy

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:

  • Safe
  • Clinically effective
  • Cost-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.

Last Updated 1/21/2016

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