You and your loved ones can be denied access to life-saving medicines by insurance companies and pharmacy benefit managers (PBMs) – even if your doctor has prescribed them.

A frequent and often harmful tactic is step therapy, which often requires you to try several drugs before your insurer will help cover the cost of the medicine that your doctor prescribed.

More broadly, insurers and PBMs often use access restrictions to take the decision-making power out of the hands of you and your doctor. Underhanded tactics and business practices put your health at risk, undermine your doctor’s expertise, and cause significant financial waste in our health care system.

What’s worse – these tactics harm those most in need of targeted medication and treatment, especially individuals with autoimmune diseases.

You and your doctor should make medical care decisions. Period.

Learn more about Step Therapy ⇢

Learn more about PBM Practices & Rx Access Restrictions ⇢

 

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Patient & Doctor Stories

“The six weeks of trying the first injectable treatment, required by step therapy, destroyed my body.”

- Heather

"Getting the right treatment as quickly as possible can save lives by preventing subsequent illnesses like heart disease."

- Dr. Delfin Santos

"I have to deal with uncontrolled symptoms for three or four months – and that’s every time we need to adjust medications."

- Sandy