Easier Access to Medications: Ending Unnecessary Therapy Trials
New rules will make it easier for patients to get necessary medications by eliminating the requirement to try ineffective treatments first. Health insurers must implement clear appeal processes for medication step therapy protocols, speeding up access to appropriate drugs.
Key points
Patients won't have to try ineffective drugs before getting the right ones.
Insurers must create a fast appeal process for step therapy decisions.
For urgent cases, medication decisions must be made within 24 hours.
Expired
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