These are drugs that usually aren’t self-administered. They are injected or infused while you are getting physician, hospital outpatient, or ambulatory surgical center services.
What is step therapy?
Step therapy is when we require a member to try a preferred drug to treat a medical condition before we will cover a non-preferred drug. If you have been treated with a non-preferred drug within the past 365 days, the step therapy requirements will not apply to you.
What drugs require step therapy?
Search for Medicare Part B step therapy at the following link to find a list of Part B Drugs that may be subject to step therapy: Medicare Part B step therapy policy.
Disclosures
Tufts Health One Care is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.
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