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2019 Step Therapy Qs and As

Guidance for the August 7, 2018 memorandum titled, “Prior Authorization and Step Therapy for Part B Drugs in Medicare Advantage” and subsequent outreach from MA plans.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 29, 2018

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.