Proponents say โstep therapyโ will save the healthcare system big money while still allowing patients the medications they need. Opponents call it โfail firstโ and insist that the practice of having patients try cheaper versions of prescribed medicationsโwith insurers paying for the more expensive variety only if the cheaper drug doesnโt do the jobโis a bitter pill to swallow. Some clinicians claim the practice, which in effect has insurers overriding a prescriberโs choice of medications …
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