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Using step therapy, pharmacy benefit managers get between cancer patients and oncologists

Interference from health insurers is one of the biggest problems physicians face when prescribing medications, diagnostic tests, or other treatments for their patients.

Frequently, insurers will deny such requests without offering any alternative. At other times, insurance companies will require a different course of treatment that the physician does not support. In recent years, health insurers have required physicians to use step therapy, meaning they’ll deny a certain medication and request that the physician prescribes another, usually lower-cost, drug instead.

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