Across from Aviation Suites at Roseburg Regional Airport
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Formulary Step Therapy
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ATRIO MyAdvantage Active Rx ATRIO MyAdvantage II Rx ATRIO MyAdvantage Choice Rx ATRIO MyAdvantage Elite Rx |
ATRIO MyAdvantage Special Needs Plan (SNP) ATRIO MyAdvantage Companion |
What are Step Therapy Limits?
In some cases, ATRIO Health Plans requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, ATRIO Health Plans may not cover drug B unless you try Drug A first. If Drug A does not work for you, ATRIO Health Plans will then cover Drug B.
You can find out if your drug has Step Therapy limits by looking in the formulary for your plan. Please refer to the Formulary Information page of atriohp.com to access a formulary for your plan. You can also call Member Services to see if your drug has any restrictions or limits. If your drug has Step Therapy limits, 'ST" will be listed to the right of the drug name on the formulary.
You can ask ATRIO Health Plans to make an exception to these restrictions or limits. See the section, “How do I request an exception to the ATRIO Health Plans’ formulary?” in the formulary or refer to the Evidence of Coverage (Member Handbook).
Press Continue>>> on the bottom of this page to access the Search function.
To use the Formulary Search Tool, simply select a Plan Year, choose the Step Therapy Guidelines you want to search, then click Select. Use the Drug Name drop box to locate your drug, then click Search. The results will then display below.
Search Tool Last Updated August 30, 2010
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H3814_MKG 50_03 CMS Approved: 10/20/09 Date Last Updated: 8/30/2010 |
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