Prescription Network is the administrator for your prescription drug benefit. Optum is our clinical partner. Together, we manage your prescription benefit.
Our Step Therapy program ensures that members are receiving appropriate, yet cost-effective, drug therapies. We will work with you, your physician and your pharmacist to ensure you are receiving the appropriate medication as early as possible in your treatment plan.
If your prescription plan utilizes Step Therapy, you will want to review the Step Therapy flier found here. Our Step Therapy program focuses on providing appropriate, cost-effective drug therapies through a coverage hierarchy within specific drugs classes. This hierarchy must be followed by members taking medications within each drug class. The program is optimized when the first-step medications are generic medications. Under the Step Therapy process, members receive clinically appropriate, yet cost-effective, medications based on their personal prescription history.
Click here to find our complete Step Therapy flier (categories may vary by plan).
If you have any questions, please contact Prescription Network at 1-800-279-3022.