Step therapy occurs when your insurer requires you to use medication alternatives before another, possibly more expensive, treatment option. Depending on specific factors, you can work with your ...

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 ...

FACING EXACTLY THAT HERE IN MASSACHUSETTS UNTIL LAST WEEK. YOU MAY HAVE MISSED THIS IN THE RUN UP TO THE MIDTERMS, BUT GOVERNOR BAKER SIGNED A BILL INTO LAW YEARS IN THE MAKING GIVING MORE CONTROL TO ...

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 ...

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 ...

Even when doctors prescribe a medication, some insurance companies require you to try lower-cost drugs first, which could delay your ability to get the treatment you need. Samantha Rynearson was 21 ...

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 ...

Joseph M. Coney, MD, FACS, explores strategies to address treatment obstacles among vulnerable patients and examines the effects of step therapy and prior authorization within a complex health care ...

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 ...

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 ...

Congress is considering legislation that would address misaligned prescription drug cost incentives set by pharmacy benefit managers, or PBMs. I applaud Congress for acting on this pressing issue, ...

CHICAGO — 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 ...