Step Therapy
Prescription Management Program

Certain medications covered under the Health Plan require the use of an equally effective and less expensive prescription medications before a more expensive alternative will be considered for coverage. The Health Plan’s Prescription vendor administers the Step Therapy process on behalf of the Health Plan.
Impacted Medications
Acne Medications (Oral) such as Oracea & Solodyn
Anti-Diabetic Injectables such as Byetta
Anti-Inflammatory Drugs such as Celebrex, must first try generic non-steroidal Anti-Inflammatory drugs before the Health Plan will cover Celebrex
Hypnotics such as Ambien
Overactive Bladder Drugs such as Detrol
Glucose Transporters such as Invokana
Topical Immunomodulators such as Elidel
Topical Corticosteroids such as Topicort
Topical Acne Drugs such as Metrogel
Ophthalmic Anti-Allergy Drops such as Pataday
Disclaimer: The Health Plan reserves the right to add or remove medications from this list at any time. Contact the Health Plan Administration Office to verify whether a covered medication is subject to a Step Therapy.