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STEP THERAPY
Pharmacy Coverage Policy
Reviewed Date: 07/22/2015
Revision Date: 07/02/2015
Reviewer Initials: LH
Effective Date: 08/15/2015Policy type: ST
Program type: FAP, EMB
Specialty:
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What is pharmacy coverage policy?
Pharmacy coverage policy is a set of rules and guidelines that determine what medications are covered by a health insurance plan.
Who is required to file pharmacy coverage policy?
Health insurance providers are required to file pharmacy coverage policy.
How to fill out pharmacy coverage policy?
Pharmacy coverage policy can be filled out online or through submission of forms provided by the health insurance provider.
What is the purpose of pharmacy coverage policy?
The purpose of pharmacy coverage policy is to outline which medications are covered by the health insurance plan and provide transparency to policyholders.
What information must be reported on pharmacy coverage policy?
Pharmacy coverage policy must include a list of covered medications, cost-sharing requirements, and any prior authorization requirements.
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