Step Therapy
Official Definition:
“CMS defines Step Therapy as a coverage rule used by some Medicare Prescription Drug Plans that requires you to try one or more similar, lower cost drugs to treat your condition before the plan will cover the prescribed drug.” – www.medicare.gov
[Medi-Care-Eez] Definition:
“…applies to the Prescription Drug portion of your coverage. Step Therapy requires that you try lower cost alternatives before you take the more expensive drug.”
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