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Varied use of step therapy among Medicare Advantage plans.

Am J Manag Care

September 2023

Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Boston, MA 02111-1845. Email:

Objectives: First, to examine 7 large Medicare Advantage (MA) plans' use of step therapy. Second, to compare step therapy that health plans imposed in their MA and commercial (employer) drug coverage policies.

Study Design: Database analysis.

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