Step Therapy Enacted Laws


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