Fighting Nonmedical Switching

Under a practice known as nonmedical switching, pharmacy benefit managers (PBMs) can force patients to change from a medication they rely on to a less costly and possibly less effective drug for financial reasons, not medical ones. PBMs accomplish this by dropping the...

Rein in the Use of Step Therapy

Decisions about a course of therapy that were once exclusively made by the doctor and patient are now being overturned by a common insurance practice called step therapy,  or what is sometimes called “fail first.” Requiring patients to try one or more less expensive...