Step Therapy for Part B Drugs

Drugs that are injected or infused by your physician in their office, or in a hospital outpatient or ambulatory surgical center, are typically covered under your medical (Part B) benefit.  Some Part B drugs may require step therapy.  Step therapy means that a preferred drug must be tried before a non-preferred drug will be approved by your plan.  If you have already been on a non-preferred drug in the previous 365 days, you may continue using the non-preferred drug.