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