What is "step therapy" in the context of medication?

Step therapy is a process used by health insurers that requires patients to try one or more lower-cost medications before they are approved for coverage of more expensive drugs. This approach is designed to encourage the use of generic or alternative medications that can effectively manage a medical condition while potentially reducing overall treatment costs. By prioritizing less expensive options, step therapy aims to ensure that patients receive effective treatment at a more affordable price, while also allowing insurance providers to manage healthcare costs more effectively.

Additionally, this method supports the idea that many conditions can be initially treated with more accessible medications before considering higher-cost alternatives, which may also carry more side effects or complications. This is a standard practice among many insurers, and it reflects a balance between patient care and economic considerations in healthcare.