Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...

DETROIT, MICH. — When he was diagnosed with two autoimmune diseases, Joel Hechler knew he'd be in for a battle. He didn't realize maybe his toughest one would be with his insurance company. "I think ...

Have you ever gone to pick up a new prescription medication, only to be told your insurance plan won’t cover it until you try a different medication first? This requirement is an insurance limit known ...

For many people living with psoriasis, finding a treatment that truly works can feel life-changing — clearer skin, fewer flares, and a sense of control. But before some people can access the most ...

Joseph M. Coney, MD, FACS, explores strategies to address treatment obstacles among vulnerable patients and examines the effects of step therapy and prior authorization within a complex health care ...

CHICAGO — Kim Albin has lost count of the number of times she’s had to battle health insurance companies over medications.

For years, I’ve watched the barriers my patients face in accessing the treatments I prescribe continue to grow. That is part of the reason I and many other health care professionals and patients ...

Florida lawmakers are considering a bill that would empower health care providers to prescribe the best-suited medications for Floridians on Medicaid suffering from “serious mental illnesses” without ...

What harm can come from trying a cheaper medication first? For one woman in Tennessee, it cost her her vision. An eye condition called age-related macular degeneration already blinded her in one eye ...

NASHVILLE, Tenn. (WJHL) – State Rep. Rebecca Alexander (R-Jonesborough) has filed a proposal to expand “step therapy” exemptions so that more cancer patients in Tennessee could access the medication ...