Many insurance companies post information about their step therapy policies online. You can often also find information about what medications your insurance company will cover and which drugs will require step therapy. When possible, it’s a good idea to share the links or printed copies of the drug lists with your doctor.
If your plan requires step therapy for a medicine you and your doctor know you need, you may have to follow the insurance company’s grievance or appeals process. Each plan is different, but in almost all cases you’ll need to file a form with your insurance company and/or write a letter. Some insurance companies may require you to upload letters and forms on their website.
Helpful links to online resources and information are below.
Click the button below to access letter templates for you and your doctor.