Step Therapy Enacted Laws

AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC

 

Arkansas

Uniform Paperwork
Requires Published Clinical Criteria X
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

California

Uniform Paperwork X
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

Colorado

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline
Exceptions Approved if Not Acted Upon


 

Connecticut*

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug
Exceptions Timeline
Exceptions Approved if Not Acted Upon


 

Iowa

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

Illinois

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

Indiana

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

Kansas*

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

Kentucky

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline
Exceptions Approved if Not Acted Upon


 

Louisiana

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline
Exceptions Approved if Not Acted Upon


 

Maryland

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug
Exceptions Timeline
Exceptions Approved if Not Acted Upon


 

Minnesota

Uniform Paperwork
Requires Published Clinical Criteria X
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

Missouri

Uniform Paperwork
Requires Published Clinical Criteria X
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline
Exceptions Approved if Not Acted Upon


 

Mississippi

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline
Exceptions Approved if Not Acted Upon


 

New Mexico

Uniform Paperwork
Requires Published Clinical Criteria X
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon


 

New York*

Uniform Paperwork
Requires Published Clinical Criteria X
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

Oregon

Uniform Paperwork
Requires Published Clinical Criteria X
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug
Exceptions Timeline
Exceptions Approved if Not Acted Upon


 

Texas

Uniform Paperwork
Requires Published Clinical Criteria X
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline X
Exceptions Approved if Not Acted Upon X


 

West Virginia

Uniform Paperwork
Requires Published Clinical Criteria
Step Therapy Exception/Override X
Step Therapy Prohibited if Patient Already Failed on Same Drug X
Exceptions Timeline
Exceptions Approved if Not Acted Upon

 
 
* indicates laws that only apply to Medicaid