Step Therapy

STEP THERAPY

Step therapy, also known as “Fail -First” policy, is used by health insurance plans as a way to control costs. This cost-management strategy requires patients to try and document failure for one or more “preferred” treatment options before pursuing another treatment option. Many times, these fail-first requirements are not part of the medications FDA labeling and are added into the prior-authorization process by health plans based on their own internal research or financial analysis.

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