2022 Tufts Health Unify Part B Step Therapy Policy
Beginning 1/1/2022 step therapy will be required for some Medicare Part B prescription drugs.
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?
Our Medicare Part B Step Therapy Policy includes the list of Medicare Part B prescription drugs that require step therapy, and what our preferred drugs are.