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  • Prior Authorization Form Overactive Bladder Step Therapy This Form Is Based On Express Scripts

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Prior Authorization Form Overactive Bladder Step Therapy This form is based on Express Scripts standard criteria and may not be applicable to all patients; certain plans and situations may require.

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What is Step Therapy? Step Therapy is a prior authorization program that encourages the use of less costly yet effective medications before more costly medications are approved for coverage. You may be able to choose from several different safe and effective prescription medications to treat your condition.

One of these restrictive UM tools is step therapy. Step therapy requires patients to first try alternate treatments—selected by the PBM—before covering the prescriber's preferred treatment for that patient.

Prior authorization is a requirement by the insurance company to approve certain medications or procedures before they can be covered by insurance, while step therapy is a protocol that requires patients to try a less expensive or lower-risk medication before moving on to more expensive or risky treatments.

Please call us at 800.753. 2851 to submit a verbal prior authorization request if you are unable to use Electronic Prior Authorization. Prior Authorization criteria is available upon request.

Express Scripts' prior authorization phone lines are open 24 hours a day, seven days a week, so a determination can be made right away. If the information provided meets your plan's requirements, you pay the plan's copayment at the pharmacy.

What is step therapy? Within specific therapy classes, multiple drugs are available to treat the same condition. Step therapy manages drug costs by ensuring that patients try clinically effective, lower-cost medications before they “step up” to a higher-cost medication.

Here are some examples of medications that need step therapy approval from a number of different plans: Cigna: (Trintellix), (), and cariprazine (Vraylar). Humana: (), diclofenac (Zorvolex), and glulisine ( Solostar).

Step therapy applies to prescriptions you receive at your local pharmacy, as well as those you order through home delivery, so the same basic process applies. Your doctor may write a prescription for a first-line drug covered by your plan, or your doctor can request an override.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232