Tag: prior authorization

Step Therapy Rules: Insurance Requirements to Try Generics First

Step therapy forces patients to try cheaper generic drugs before insurers cover more expensive treatments. While it saves money, it often delays critical care and harms patients with chronic conditions.

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Insurance Coverage of Biosimilars: Prior Authorization and Tier Placement Strategies

Biosimilars can save patients thousands annually, but insurance tiers and prior authorization rules often block access. Learn how coverage gaps keep costs high despite FDA approval.

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