Step Therapy

 

Step Therapy requires you to follow a safe and appropriate progression of drug therapy for certain conditions. You are required to try an alternative generic drug before the plan will pay for the higher cost drug prescribed by your doctor. Requiring a generic drug first allows you to realize lower costs without compromising safety or effectiveness of treatments.

 

The drug that your doctor prescribed may be covered if the alternative drug does not work or if you have a medical condition that prohibits you from taking it.

 

You can learn if your medication is included in Step Therapy by calling CVS Caremark at 1-888-291-6372.

Changes for 2012
 
Effective January 1, 2012, additional medications are on the list covered by Step Therapy.

 

That list now includes certain medicines that treat:

  • acid reflux
  • arthritis
  • glaucoma
  • enlarged prostate
  • allergies/sinus conditions


Please note: This is not a comprehensive list. To find out if your medication is included, call CVS Caremark at 1-888-291-6372.