Step Therapy Drug List

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

Prescribers: please call Express Scripts at (800) 753-2851.

Step Therapy Drugs Subject to Express Scripts Prior Authorization

Effective July 2018

Targeted Drugs Most Common Indication
Cimzia Inflammatory Conditions
Enbrel Inflammatory Conditions
Ilumya Inflammatory Conditions
Kevzara Inflammatory Conditions
Kineret Inflammatory Conditions
Orencia SC Inflammatory Conditions
Otezla Inflammatory Conditions
Siliq Inflammatory Conditions
Simponi SC Inflammatory Conditions
Taltz Inflammatory Conditions
Tremfya Inflammatory Conditions
Xeljanz/XR Inflammatory Conditions