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Step Therapy

Some medications require you to try a preferred drug to treat your medical condition before we cover the drug your doctor may have initially prescribed. This is called step therapy, and the medications that require it are listed as “ST” in the formulary.

To request coverage for a drug that requires step therapy, you should have your doctor fill out a prior authorization request form and send to Priority Partners. Priority Partners will then review the request and notify you and your doctor whether the request is approved or denied.

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