Step therapy protocol means a protocol or program that establishes the specific
Step therapy protocol means a protocol or program that
Step therapy protocol means a protocol or program that establishes a specific sequence in which prescription drugs for a specified medical condition and medically appropriate for a particular covered person are covered under a pharmacy or medical benefit by a health carrier, a health benefit plan, or a utilization review organization, including self-administered drugs and drugs administered by a health care professional.
Examples of Step therapy protocol in a sentence
In this subchapter:6-29 (1) "Labeler" and "manufacturer" have the meanings 6-30 assigned by Section 531.070.6-31 (2) "Recipient" means a Medicaid recipient.6-32 (3) "Step therapy protocol" means a protocol that 6-33 requires a recipient to use a prescription drug or sequence of 6-34 prescription drugs other than the drug that the recipient ’s 6-35 physician recommends for the recipient ’s treatment before a managed 6-36 care organization provides coverage for the recommended drug.6-37 Sec.
More Definitions of Step therapy protocol
Step therapy protocol means a protocol or program that establishes the specific sequence in which prescription drugs for a specified medical condition, whether self−administered or physician−administered, that are medically appropriate for a par- ticular patient are covered under a policy or plan.
Step therapy protocol means a protocol that specifies, as a condition of coverage under this Plan, the order in which certain prescription drugs must be used to treat your condition.
Step therapy protocol means a protocol or program that establishes a specific sequence in which prescription drugs for a specified medical condition that are medically appropriate for a particular patient are covered by a health insurance plan;
Step therapy protocol means a protocol that
Step therapy protocol means a drug utilization management prior authorization protocol or program that establishes the specific sequence in which prescription drugs are covered by a health carrier for a medical condition.
Step therapy protocol means a protocol or program that (i) establishes the specific sequence in
Step therapy protocol means a protocol, policy, or program