Step Therapy
Part DA coverage requirement where you must try a less expensive drug first before your plan will cover a more expensive one. Commonly used in Medicare Advantage and Part D plans to control costs.
Also known as: Fail first policy
Plain-English definitions for every Medicare term — from ABN to ZIP enrollment. No jargon, no confusion.
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A coverage requirement where you must try a less expensive drug first before your plan will cover a more expensive one. Commonly used in Medicare Advantage and Part D plans to control costs.
Also known as: Fail first policy
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