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 ...

Young adults were more likely to report low confidence in knowing which coverage-related questions to ask their insurers, and ...

For years, I’ve watched the barriers my patients face in accessing the treatments I prescribe continue to grow. That is part of the reason I and many other health care professionals and patients ...

Panelists discuss the challenges and evolving landscape of step therapy protocols in hidradenitis suppurativa treatment, emphasizing the impact on patient adherence, the potential benefits of earlier ...

Health plan policies are increasingly relying on step therapy for cancer drugs, recent analysis from consulting firm Avalere shows. A white paper (PDF) released by the American Cancer Society Cancer ...

Kim Albin has lost count of the number of times she’s had to battle health insurance companies over medications. Albin, who has been living with multiple sclerosis for nearly 30 years, said health ...

Key opinion leaders discuss the challenges associated with step therapy requirements after initially selecting a drug class, the patient factors considered when deciding to switch a patient with ...

Imagine this scenario: You get sick, but in a way that’s new to you. This isn’t the common cold or seasonal flu. It’s something different, and something you fear is worse. You visit your doctor, who ...

Millions of Americans have experienced similar frustrations under protocols known as step therapy, or fail-first policies. Insurance companies, and the pharmacy benefit management companies that ...

Getting coverage authorization for certain medications from Medicare may require you to try a cheaper drug first. This is called “step therapy.” Medicare Part D offers general prescription drug ...