Step therapy protocol definition

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 (i) establishes the specific sequence in

Examples of Step therapy protocol in a sentence

  • Step therapy protocol means that an Enrollee may need to use one type of medication before another.

  • This determination is based on40 a review of the patient's or prescriber's request for an override along with41 supporting rationale and documentation.42 (4) Step therapy protocol.

  • Step therapy protocol means that a Covered Person may need to use one type of medication before another.

  • This2 determination is based on a review of the patient's or prescriber's3 request for an override along with supporting rationale and4 documentation.5 (4) Step therapy protocol.

  • This determination is based40 on a review of the patient's or prescriber's request for an override along with41 supporting rationale and documentation.42 (4) Step therapy protocol.


More Definitions of Step therapy protocol

Step therapy protocol means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the insured before his or her policy of health insurance provides coverage for the recommended drug.”
Step therapy protocol means a protocol, policy, or program
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 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.
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 that are for a specified medical condition and that are consistent with medical or scientific evidence for a particular patient are covered, under either a medical or prescription drug benefit, by a health benefit plan, including both self-administered and physician-administered drugs.
Step therapy protocol means a protocol that