Work Through "Step-Therapy" Rejections Efficiently

January 2019

A new year will bring more step-therapy insurance rejections...to try to encourage use of lower-cost, yet effective, medications.

Payers will often require patients to try similar lower-cost therapy first...then "step up" to more expensive treatments if needed.

For example, some patients may need to try generic metoprolol before their insurance will cover brand-name Bystolic (nebivolol).

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Table of Contents

Insurance Work Through "Step-Therapy" Rejections Efficiently
Medication Errors Prevent Mix-Ups Between Lamotrigine and Labetalol
Asthma Watch for Patients Getting OTC Primatene Mist for Asthma
Antihypertensives Listen for Patients Worried About Cancer Risk With Blood Pressure Meds
Cholesterol Ensure Patients Get the Right Statin Add-On
Cholesterol Anticipate More Patients Getting Vascepa to Help Reduce Heart Events
Antibiotics Keep an Eye Out for the New Tetracycline Antibiotic Nuzyra
Oral Health Help Patients With Non-Opioid Options for Dental Pain
Antiarrhythmics Keep Patients Taking Amiodarone Safe
MRSA Don't Automatically Substitute Generic Mupirocin for Bactroban Nasal
Supplements Be Ready for Questions About Eye Supplements for Blue Light
Epinephrine Know How the New EpiPen Generic Compares to Other Epinephrine Auto-Injectors