Re: Step Therapy for Part B Drugs in Medicare Advantage
Dear Administrator Brooks-LaSure,
The undersigned organizations, representing millions of Medicare beneficiaries with life-threatening,
complex, chronic conditions and/or the physicians who care for them, are asking the Centers for
Medicare and Medicaid Services (CMS) to ensure that beneficiaries enrolled in Medicare Advantage
plans continue to have appropriate and timely access to the therapies they need to properly manage
their conditions. CMS was recently presented with current examples of patient harm due to the
implementation of utilization management protocols and we are asking that the agency move swiftly
to reinstate the step therapy prohibition in Medicare Advantage (MA) plans for Part B drugs.
Read full letter here