Physician Perceptions of Step Therapy Prescribing Requirements

Fischer MA, Kesselheim AS, Lu Z, Ross KM, Tessema FA, Avorn J - Journal of Managed Care & Specialty Pharmacy

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Summary:

Most physicians surveyed (55%) acknowledged that step therapy policies could improve medication affordability and clinical appropriateness (59%), though 70% reported interactions with the pharmaceutical industry and subspecialists held more negative views of these utilization management strategies. While physicians recognized the potential benefits of step therapy for cost-effectiveness, they expressed significant concerns about inefficient and inflexible implementation that often failed to account for patient-specific information, suggesting that improved policy design and execution could enhance physician acceptance and compliance.

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