What is step therapy/prior authorization?
CIGNA has a step therapy program that encourages the use of generic and low-cost brand medications. The program impacts only medications used to treat high blood pressure, high cholesterol and stomach acid conditions. Step therapy requires a member to try a “first step” medication, generally a generic drug, before moving to a higher cost drug. A physician may request prior authorization for second or third step medication, if medically necessary. You can view details on CIGNA’s step therapy program here. ConnectiCare, Health Net, and Oxford have a prior authorization requirement for certain medications. Use the following links to view the medication lists.
CIGNA has a step therapy program that encourages the use of generic and low-cost brand medications. The program impacts only medications used to treat high blood pressure, high cholesterol and stomach acid conditions. Step therapy requires a member to try a “first step” medication, generally a generic drug, before moving to a higher cost drug. A physician may request prior authorization for second or third step medication, if medically necessary. You can view details on CIGNA’s step therapy program here. ConnectiCare and Oxford have a prior authorization requirement for certain medications. Use the following links to view the medication lists.
