Despite a mounting number of state-level laws enacted to protect vulnerable patients against step therapy protocols, without official enforcement, these laws safeguard less than 10% of patients, according to data published in Health Economics Policy and Law.
Study authors Louis Tharp, executive director and co-founder of the Global Healthy Living Foundation, and Zoe Rothblatt, MPH, a patient advocate and community outreach manager of the Global Healthy Living Foundation, described step therapy, or fail-first policy, as “a practice of insurance and pharmacy benefit management companies