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Step Therapy for Medications
Step Therapy (ST) requires you try one medication first to see if it is effective before "stepping" to another medication. The first step is usually a preferred medication. If the first step medication is not effective for you, then you may be able to "step" to the next medication. If your physician or provider believes that the "first step" medication will be ineffective or may be harmful, this requirement may be waived if a prior authorization is requested and approved.

If you have any questions about medications that require a ST, visit mp.medimpact.com or call MedImpact at (800) 788-2949.

The following medications require Step Therapy. Changes to this list can occur at any time during the plan year.

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Drug Name Drug Class Common Indications
Namenda NMDA receptor antagonist Alzheimer
Atacand/HCT Angiotension Receptor Blockers High Blood Pressure
Avapro Angiotension Receptor Blockers High Blood Pressure
Avalide Angiotension Receptor Blockers High Blood Pressure
Azor Angiotension Receptor Blockers High Blood Pressure
Benicar/HCT Angiotension Receptor Blockers High Blood Pressure
Cozaar Angiotension Receptor Blockers High Blood Pressure
Diovan/HCT Angiotension Receptor Blockers High Blood Pressure
Exforge Angiotension Receptor Blockers High Blood Pressure
Exforge HCT Angiotension Receptor Blockers High Blood Pressure
Hyzaar Angiotension Receptor Blockers High Blood Pressure
Micardis/HCT Angiotension Receptor Blockers High Blood Pressure
Teveten/HCT Angiotension Receptor Blockers High Blood Pressure
Inspra Selective Aldosterone Inhibitor High Blood Pressure/Heart Failure
Ketek Antibiotic Infection
Abilify Antipsychotic Bipolar
Xopenex Beta Agonists Asthma
Celebrex COX-2 Inhibitor Pain/Inflammation
Copegus Antiviral Hepatitis C
Rebtol Antiviral Hepatitis C
Virazole Antiviral Hepatitis C
Ribavirin Antiviral Hepatitis C
Accolate Leukotriene Inhibitors Asthma/Allergy
Singulair Leukotriene Inhibitors Asthma/Allergy
Zyflo/CR Leukotriene Inhibitors Asthma/Allergy
Duragesic Narcotic Pain
Nucynta Narcotic Pain
Opana Narcotic Pain
Oxycontin Narcotic Pain
Aciphex Proton Pump Inhibitor Ulcer/Reflux
Nexium Proton Pump Inhibitor Ulcer/Reflux
Prevacid Proton Pump Inhibitor Ulcer/Reflux
Kapidex Proton Pump Inhibitor Ulcer/Reflux
Protonix Proton Pump Inhibitor Ulcer/Reflux
Zegerid Proton Pump Inhibitor Ulcer/Reflux
Uloric Xanthine Oxidase Inhibitor Gout
Trileptal Anticonvulsant Seizure