Step Therapy

Step therapy encourages you to try a safer or more effective drug before the plan covers another drug.  For example, if Drug A and Drug B treat the same medical condition, the Upper Peninsula Health Plan (UPHP) may require you to try Drug A first.  If Drug A does not work for you, the health plan will then cover Drug B.  This requirement to try a different drug first is called “Step Therapy.”

Refer to the UPHP Evidence of Coverage for further information on step therapy, or call Magellan Rx Customer Service at 1-844-827-0182 (TTY 711), seven days per week, 24 hours per day. The call is free.

2018 Step Therapy Criteria
(Clicking on this link will take you away from UPHP’s website).

2019 Step Therapy Criteria – Coming soon!
(Clicking on this link will take you away from UPHP’s website).

 

 

 

 

 

 

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Page Last Updated: 09/28/2018