Step Therapy Annual Certification
Step Therapy Annual Certification
Step Therapy Annual Certification

Health care insurers, pharmacy benefit managers and utilization review agents may send the annual step therapy compliance certification required by ARS 20-3653(D) to [email protected].  

The certification is required annually by or before December 31st.  The certification must convey whether the clinical review criteria used in the entity’s step therapy protocol for prescription drugs meets the requirements prescribed in ARS §§ 20-3651 through 20-3564.  Inquiries regarding step therapy certification submissions may be sent to [email protected].

Note that the step therapy protocol requirements apply to all “health care plans that are subject to state law regulating insurance, that provides prescription drug benefits and that includes coverage for a step therapy protocol regardless of how that coverage is described.” ARS 20-3652.

 

Step Therapy Annual Certification