Start with a first-step drug
• Your health care provider diagnoses you with a condition needing treatment.
• You’re prescribed a first-step drug (cost-effective option), and your claim is automatically approved and paid.
You can qualify for a second-step drug
• If the first step drug doesn’t deliver or stops delivering the desired health benefits, then you can try a more expensive second step drug.
• If you are seamlessly eligible for a second step drug at the pharmacy, the claim will automatically be paid and approved. Please note actual out of pocket will be dependent on drug cost and plan design.
Find the Step Therapy Drug List here.