Step Therapy Drug List

Step Therapy ensures that our members are trying a clinically effective, lower-cost medication prior to using a more expensive, brand name drug. Of course, if the medication is not effective in their treatment, you can request authorization for the higher-cost medication.

Physicians call Express Scripts (800) 753-2851

Express Scripts Prior Authorization list of Step Therapy drugs (ST) for 1199SEIU Benefit Funds effective July 2017:

Targeted DrugsMost Common Indication
Actemra IVInflammatory Conditions
Actoplus MetDiabetes
Actoplus Met XRDiabetes
ActosDiabetes
AdcircaPulmonary Arterial Hypertension
AplenzinDepression
AranespBlood Cell Deficiency
AubagioMultiple Sclerosis
AvandametDiabetes
AvandarylDiabetes
AvandiaDiabetes
CimziaInflammatory Conditions
ConZipPain
Copaxone 20mg brandMultiple Sclerosis
Cymbalta brandDepression
desvenlafaxine/fumarate ERDepression
DuetactDiabetes
Effexor brandDepression
Effexor XR brandDepression
EnbrelPsoriasis
EpogenBlood Cell Deficiency
FetzimaDepression
Forfivo XLDepression
GilenyaMultiple Sclerosis
GraliseNeurological Disorders
HorizantNeurological Disorders
InflectraInflammatory Conditions
KevzaraInflammatory Conditions
KhedezlaDepression
KineretInflammatory Conditions
LetairisPulmonary Arterial Hypertension
LyricaNeurological Disorders
MirceraBlood Cell Deficiency
NeurontinNeurological Disorders
OcrevusMultiple Sclerosis
Orencia IVInflammatory Conditions
Orencia SQInflammatory Conditions
OtezlaPsoriatic Arthritis
PristiqDepression
RemicadeInflammatory Conditions
Revatio Oral SuspensionPulmonary Arterial Hypertension
Revatio tablets & 10mg/ml oral solutionPulmonary Arterial Hypertension
RituxanInflammatory Conditions
Rybix ODTPain
RyzoltPain
SavellaDepression
SiliqInflammatory Conditions
Simponi 50mgInflammatory Conditions
Simponi AriaInflammatory Conditions
Stelara SCInflammatory Conditions
Stelara IVInflammatory Conditions
TaltzInflammatory Conditions
TecfideraMultiple Sclerosis
tramadol ERPain
UloricGout
UltracetPain
UltramPain
Ultram ERPain
venlafaxine ERDepression
VentavisPulmonary Arterial Hypertension
Wellbutrin SR/XLDepression
ZurampicGout