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 ...

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 ...

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, ...

Of the two components highlighted in Illinois’ legislation last week, the state’s ban on step therapy is “a lot more interesting,” according to David Shillcutt, attorney and member of the firm at ...

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 ...

Florida’s current step therapy for those on Medicaid prioritizes potential cost savings over patient needs, critics say. John Roberge KRT As a longtime advocate for mental health, working alongside ...