What is Step Therapy?

Step therapy means trying less expensive options before stepping up to drugs that cost most. Step therapy is when an insurance company or pharmacy benefit manager (PBM) requires a patient to try certain medications, which may be lower cost to them, without success before agreeing to cover a particular medication that the patient’s doctor prescribed. When you and your doctor believe a prescription that does not follow your health plan’s step therapy process is the best choice for you, you will need prior authorization. To know more details please visit here https://www.capitalbluemedicare.com/wps/portal/capm/home/enroll/benefit-2019/step-therapy