Commonwealth Care Alliance

Senior Care Options Program (HMO SNP)

Pharmacy » Formulary 2017 (List of covered Drugs) » Step Therapy Criteria

Step Therapy Criteria

Step therapy encourages you to try less costly but just as effective drugs before Commonwealth Care Alliance covers another drug. For example, if Drug A and Drug B treat the same medical condition, the plan may require you to try Drug A first. If Drug A does not work for you, the plan will then cover Drug B. This document provides a list of drugs that require step therapy:

  • Download the 2017 Step Therapy Criteria (pdf)


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Last Updated 05/01/2017