Common use of Step Therapy Clause in Contracts

Step Therapy. Certain drugs require step-therapy. This means that to receive coverage, you will need to try specific formulary drugs that are proven, safe and cost-effective medicine before using the drug that requires step-therapy. Your Provider will be required to submit documentation to obtain Approval for a drug requiring step-therapy. Your Provider can request to bypass step- therapy by requesting Prior Approval.

Step Therapy. Certain drugs require step-therapystep‐therapy. This means that to receive coverage, you will need to try specific formulary drugs that are proven, safe and cost-effective cost‐effective medicine before using the drug that requires step-therapystep‐therapy. Your Provider will be required to submit documentation to obtain Approval for a drug requiring step-therapystep‐therapy. Your Provider can request to bypass step- step‐ therapy by requesting Prior Approval.

Step Therapy. Certain drugs require step-step - therapy. This means that to receive coverage, you will need to try specific formulary drugs that are proven, safe and cost-cost - effective medicine before using the drug that requires step-therapystep - ther apy. Your Provider will be required to submit documentation to obtain Approval for a drug requiring step-step - therapy. Your Provider can request to bypass step- step - therapy by requesting Prior Approval.

Step Therapy. Certain drugs require step-therapy. This means that to receive coverage, you will need to try specific formulary drugs that are proven, safe and cost-effective medicine before using the drug that requires step-therapy. Your Provider will be required to submit documentation to obtain Approval for a drug requiring step-therapy. Your Provider can request to bypass step- therapy by requesting Prior Approval.. SAMPLE

Step Therapy. SAMPLE Certain drugs require step-therapy. This means that to receive coverage, you will need to try specific formulary drugs that are proven, safe and cost-effective medicine before using the drug that requires step-therapy. Your Provider will be required to submit documentation to obtain Approval for a drug requiring step-therapy. Your Provider can request to bypass step- step-therapy by requesting Prior Approval.