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Step Therapy
Program
Save Money on Prescription Drugs with the Step Therapy Program
Step Therapy is a clinical tool used in your prescription benefit to promote the use of safe, effective and clinically appropriate medications.
Generic first step therapy programs require that ptients try a generic alternative medication tht is safe and equally effective before a brand name medication is allowed to be paid through the patient’s insurance.
If the generic medication proves to be effective, the patient will benefit by having a lower copay.
How the Step Therapy Program Works
When filling prescriptions for patients, the pharmacist runs the prescription through the
system. If the patient history shows that the generic drug was previously dispensed, then the brand or higher cost medication can be dispensed.
However, if there is no record of a generic drug being dispensed previously, then the patient
must try the generic first or go through the prior authorization process. Prior authorization is a
process where the doctor submits a medication request form stating the reason why the patient
must have the brand name drug filled at the pharmacy, without going through the step
therapy process.
Not all medications are included in the step therapy program. For specific
information regarding the Step Therapy program contact MedImpact at (844) 282-5343 or, please go to www.scrippshealthplan.com and select the ‘I’m a Member’ option.