Step Therapy

What is step therapy?

Have you been required by your health insurer to try and fail on a medication before they will provide coverage for your original provider-prescribed treatment? If so, you've been subjected to step therapy, also known as "fail first". Recent surveys indicate that over 40 percent of patients with Crohn's disease and ulcerative colitis have had to try and fail on one or more drug(s) before accessing the provider-prescribed treatment. Dealing with fail first protocols while living with inflammatory bowel diseases (IBD) can be physically and emotionally draining.

Learn more about step therapy

Check out the Crohn's and Colitis Foundation's resources about what step therapy is and what you can do if you have been affected by step therapy: 

                                          

                               Watch this webcast                                                          Read our step therapy infographic                      

 


What has your state done to address step therapy?

Click on our interactive map below to see what your state has done to address step therapy protocols and how you can join the Foundation's advocacy efforts to pass legislative reform: 

There are currently no protections from step therapy protocols for IBD patients in Alabama. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Alabama with the help of your story! 

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There are currently no protections from step therapy protocols for IBD patients in Alaska. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Alaska with the help of your story! 

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There are currently no protections from step therapy protocols for IBD patients in Arizona. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Arizona with the help of your story! 

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If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient process to request an override. Your insurer must respond to this override request or appeal within 72 hours. Step therapy protocols are prohibited if you have already tried and failed on the insurer-preferred drug. 

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Arkansas Insurance Department to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

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If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient process to request an override. Requests for an exception to a step therapy protocol are submitted and responded to in the same process as a request for prior authorization. Insurers are required to respond to a step therapy override exception request or appeal within 72 hours of receipt. In emergency situations, the insurer must respond within 24 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor. 

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the California Department of Insurance to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

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Colorado currently only has limited protections from step therapy protocols for IBD patients. If you have tried and failed on an insurer-preferred drug, you are not required to try and fail on them again. If you are still affected by step therapy, contact the Foundation to see what can be done in Colorado with the help of your story! 

enacted
Contact Us to Share Your Story
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Colorado Department of Regulatory Agencies to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn6

If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient process to request an override. An override shall be expeditiously granted if your provider demonstrates:

  1. the insurer-preferred drug has been ineffective in the past,
  2. is expected to be ineffective
  3. is likely to cause an adverse reaction, or
  4. is medically inappropriate.

Additionally, a step therapy protocol may be deemed clinically ineffective by your health care provider if after 60 days the insurer-preferred drug has failed. The insurer must then authorize coverage for the drug originally prescribed by your provider. 

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Connecticut Department of Regulatory Agencies to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

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There are currently no protections from step therapy protocols for IBD patients in Delaware. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Delaware with the help of your story! 

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There are currently no protections from step therapy protocols for IBD patients in Washington, DC. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done with the help of your story! 

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There are currently no protections from step therapy protocols for IBD patients in Florida. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Florida with the help of your story! 

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We are actively advocating on your behalf in Georgia. Your state lawmakers need to hear from you! Take action today by writing your legislators. 

Take Action Now

Contact us to Share Your Story

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There are currently no protections from step therapy protocols for IBD patients in Hawaii. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Hawaii with the help of your story! 

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There are currently no protections from step therapy protocols for IBD patients in Idaho. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Idaho with the help of your story! 

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If you have been restricted or denied access to a treatment because of step therapy, an override request will be granted if your health care provider can demonstrate that:

  1. the required insurer-preferred drug is contraindicated
  2. you have already tried and failed on the required insurer-preferred drug
  3. you are currently stable on a prescription drug

Insurers are required to respond to an override exception request or appeal within 72 hours. In emergencies, the insurer must respond within 24 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor.

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Illinois Department of Insurance to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn13

Insurers are required to respond to an override exception request or appeal within 72 hours. In emergencies, the insurer must responsd within 24 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor. If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient override procedure. An override request will be granted if your health care provider can demonstrate that the required insurer-preferred drug:

  1. is contraindicated or will likely cause an adverse reaction
  2. is expected to be ineffective
  3. is deemed medically inappropriate

Insurers are required to respond to an override exception request or appeal within 72 hours. In emergencies, the insurer must respond within 24 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor. 

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Indiana Department of Insurance to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn14

If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient override procedure. An override request will be granted if your health care provider can demonstrate that:

  1. the required insurer-preferred drug is contraindicated or will likely cause an adverse reaction
  2. the required insurer-preferred drug is expected to be ineffective
  3. you have already tried and failed on the required insurer-preferred drug
  4. you are currently stable on a prescription drug

Insurers are required to respond to an override exception request or appeal within five days. In emergencies, the insurer must respond within 72 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor.

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Iowa Insurance Department to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn15

Kansas currently only has limited protections from step therapy protocols for IBD patients. If you are on Medicaid and have been restricted or denied access to a treatment because of step therapy, an override request shall be granted if your health care provider can demonstrate that:

  1. the required insurer-preferred drug is contraindicated or likely to cause harm
  2. the required insurer-preferred drug is expected to be ineffective
  3. you have already tried and failed on the required insurer-preferred drug
  4. you are currently stable on a prescription drug

Insurers are required to respond to an override exception request or appeal within 72 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor. If you are still affected by Step Therapy, contact the Foundation to see what can be done in Kansas with the help of your story! 

enacted
Contact Us to Share Your Story
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Kansas Insurance Department to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn16

Kentucky currently only has limited protections from step therapy protocols for IBD patients. If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient process to request an override. An override shall be granted within 48 hours if your provider can demonstrate that the required insurer-preferred drug:

  1. has previously been ineffective in the treatment of your medical condition
  2. is expected to be ineffective based on your relevant medical history and the known characteristics of the drug regimen
  3. will cause or will likely cause an adverse reaction or other physical harm 

If you are still affected by step therapy, contact the Foundation to see what can be done in Kentucky with the help of your story!

enacted
Contact Us to Share Your Story
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Kentucky Department of Insurance to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn17

If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient override procedure. An override request will be granted if your health care provider can demonstrate that the required insurer-prefrred drug:

  1. has been previously ineffective in the treatment of the patient's disease or medical condition
  2. is expected to be ineffective based on your relevant medical history and known characteristics of the drug regiment3. will likely cause an adverse reaction or other physical harm
enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Louisiana Department of Insurance to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

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There are currently no protections from step therapy protocols for IBD patients in Maine. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Maine with the help of your story! 

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Maryland currently has limited protections from step therapy for IBD patients. If you have been restricted or denied access to a treatment because of step therapy, an override request will be granted if your health care provider can demonstrate:

  1. that the insurer preferred drug is not approved by the FDA for the medical condition being treated
  2. that your current prescription is deemed effective in treating your IBD
enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Maryland Insurance Administration to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

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We are actively advocating on your behalf in Massachusetts. Your state lawmakers need to hear from you! Take action today by writing your legislators. 

Take Action Now

Contact us to Share Your Story

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us_vn21

There are currently no protections from step therapy protocols for IBD patients in Michigan. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Maine with the help of your story! 

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us_vn22

Minnesota has recently passed step therapy reform legislation. If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient override procedure. An override request shall be granted if your health care provider can demonstrate that: 

1. the required insurer-preferred drug is contraindicated or will likely cause harm to the patient

3. you have previously tried and failed on the insurer-preferred drug or another prescription drug with the same mechanism of action

4. you are currently receiving a positive therapeutic outcome on a prescription drug

Insurers are required to respond to an override exception request or appeal within 5 days. In emergencies, the insurer must respond within 72 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor. 

enacted
How to Begin an Appeal

This law will take effect on January 1, 2019. If you are affected by step therapy, discuss your options with your health care provider.

Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn23

The duration of any step therapy protocol shall not be longer than 30 days when the treatment is deemed ineffective. If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient override procedure. An override request will be granted if your health care provider can demonstrate that the required insurer-prefrred drug:

  1. has been ineffective in the treatment of your medical condition
  2. is expected to be ineffective
  3. will cause or will likely cause an adverse reaction or other physical harm

The duration of any step therapy protocol shall not be longer than 30 days when the treatment is deemed ineffective. 

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Mississippi Insurance Department to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn24

Missouri currently has limited protections from step therapy protocols for IBD patients. If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a convenient override procedure. An override request will be granted if your health care provider  can demonstrate that you have tried and failed on the required step therapy drug.

If you are still affected by step therapy, contact the Foundation to see what can be done in Missouri with the help of your story.

enacted
Contact Us to Share Your Story
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Missouri Department of Insurance to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn25

There are currently no protections from step therapy protocols for IBD patients in Montana. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Montana with the help of your story! 

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There are currently no protections from step therapy protocols for IBD patients in Nebraska. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Nebraska with the help of your story! 

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There are currently no protections from step therapy protocols for IBD patients in Nevada. Your state legislators need to hear your voice. Contact the Foundation to see what can be done in Nevada with the help of your story! 

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There are currently no protections from step therapy protocols for IBD patients in New Hampshire. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in New Hampshire with the help of your story! 

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us_vn29

There are currently no protections from step therapy protocols for IBD patients in New Jersey. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in New Jersey with the help of your story! 

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us_vn30

New Mexico has recently passed step therapy reform legislation. If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient override procedure. An override request shall be granted if your health care provider can demonstrate that: 

1. the required insurer-preferred drug is contraindicated or will likely cause harm to the patient

2. the required insurer-preferred drug is expected to be ineffective

3. you have previously tried and failed on the insurer-preferred drug

4. the required insurer-preferred drug is deemed medically inappropriate

Insurers are required to respond to an override exception request or appeal within 72 hours. In emergencies, the insurer must respond within 24 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor. 

enacted
How to Begin an Appeal

This law will take effect on January 1, 2019. If you are affected by step therapy, discuss your options with your health care provider.

Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn31

If you have been restricted or denied access to a treatment because of step therapy, an override request will be granted if your health care provider can demonstrate that:

  1. the required insurer-preferred drug is contraindicated
  2. the required insurer-preferred drug is expected to be ineffective
  3. the required insurer-preferred drug is deemed medically inappropriate
  4. you are currently stable on a prescription drug

Insurers are required to respond to an override exception request or appeal within 72 hours. In emergencies, the insurer must respond within 24 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor. 

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the appropriate agency:

For Private Commercial Insurance
For Medicaid Managed Care Plans

Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn32

There are currently no protections from step therapy protocols for IBD patients in North Carolina. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in North Carolina with the help of your story! 

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us_vn33

There are currently no protections from step therapy protocols for IBD patients in North Dakota. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in North Dakota with the help of your story! 

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us_vn34

We are actively advocating on your behalf in Ohio. Your state lawmakers need to hear from you! Take action today by writing your legislators. 

Take Action Now

Contact us to Share Your Story

targeted
us_vn35

There are currently no protections from step therapy protocols for IBD patients in Oklahoma. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Oklahoma with the help of your story! 

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us_vn36

Oregon currently has limited protection from step therapy protocols for IBD patients. If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to clear clinical criteria for step therapy protocols provided by the insurer as well as a process to submit rationale to determine that a particular protocol is inappropriate. If you are still affected by step therapy, contact the Foundation to see what can be done in Oregon with the help of your story! 

enacted
Contact Us to Share Your Story
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Oregon Division of Financial Regulations to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn37

There are currently no protections from step therapy protocols for IBD patients in Pennsylvania. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Pennsylvania with the help of your story! 

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us_vn38

There are currently no protections from step therapy protocols for IBD patients in Rhode Island. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Rhode Island with the help of your story! 

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us_vn39

There are currently no protections from step therapy protocols for IBD patients in South Carolina. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in South Carolina with the help of your story! 

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us_vn40

There are currently no protections from step therapy protocols for IBD patients in South Dakota. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in South Dakota with the help of your story! 

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us_vn41

There are currently no protections from step therapy protocols for IBD patients in Tennessee. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Tennessee with the help of your story! 

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us_vn42

If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient override procedure. An override request will be granted if your health care provider can demonstrate that :

  1. the required insurer-preferred drug is contraindicated or will likely cause harm
  2. the required insurer-preferred drug is expected to be ineffective
  3. you have previously tried and failed on the insurer-preferred drug
  4. the required insurer-preferred drug is deemed medically inappropriate
  5. you are currently stable on a prescription drug

Insurers are required to respond to an override exception request or appeal within 72 hours. In emergencies, the insurer must respond within 24 hours. If a response is not received within this timeframe, the exception or appeal is granted in your favor. 

enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the Texas Department of Insurance to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn43

There are currently no protections from step therapy protocols for IBD patients in Utah. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Utah with the help of your story! 

silent
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us_vn44

There are currently no protections from step therapy protocols for IBD patients in Vermont. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Vermont with the help of your story! 

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us_vn45

There are currently no protections from step therapy protocols for IBD patients in Virginia. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Virginia with the help of your story! 

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us_vn46

We are actively advocating on your behalf in Washington. Your state lawmakers need to hear from you! Take action today by writing your legislators. 

Take Action Now

Contact us to Share Your Story

targeted
us_vn47

 If you have been restricted or denied access to a treatment because of step therapy, your health care provider will have access to a clear and convenient override procedure. An override request will be granted if your health care provider can demonstrate that :

  1. the required insurer-preferred drug is contraindicated or will likely cause an adverse reaction
  2. the required insurer-preferred drug is expected to be ineffective
  3. the required insurer-preferred drug is deemed medically inappropriate
  4. you are currently stable on a prescription drug
  5. you have previously tried and failed on the insurer-preferred drug or another drug in the same pharmacologic class or with the same mechanism of action  
enacted
How to Begin an Appeal

If your insurer has denied your exception request, file a complaint with the West Virginia Office of the Insurance Commissioner to begin the external appeals process

Submit an external appeal
Questions? Feel like you are still not getting adequate relief from Step Therapy?

If you need further assistance with the exception or appeals process, or have any additional questions, please contact the IBD Help Center

Email the IBD Help Center

888-MY-GUT-PAIN (888-694-8872)

us_vn48

There are currently no protections from step therapy protocols for IBD patients in Wisconsin. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Wisconsin with the help of your story! 

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us_vn49

There are currently no protections from step therapy protocols for IBD patients in Wyoming. Your lawmakers need to hear your voice. Contact the Foundation to see what can be done in Wyoming with the help of your story! 

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AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC

  • Patient protections enacted
  • Targeted
  • Silent

What is a target state?

In conjunction with partners across the country, the Crohn's and Colitis Foundation is advocating for step therapy reform in strategically selected 'target' states. The Foundation is actively educating the legislatures in each respective state on how step therapy/fail first negatively affects IBD patients and how they could benefit from step therapy reform.

What are we working towards?

The Foundation, as part of a coalition of patient and provider groups, worked to craft model legislation designed to provide relief for all people with chronic diseases who are affected by step therapy protocols. While not a full ban on the use of step therapy, the model legislation accomplishes the following:

  • Creates a balance between ensuring the health of the patient and containing overall health care costs
  • Provides for a timeline of response for step therapy exception requests (within 24 hours for emergencies or 72 hours for non-emergencies) 
  • Outlines clear exceptions to fail first protocols that are based on medical necessity 
  • Ensures that step therapy protocols and the process to appeal them are transparent to patients and their providers and is based on the most current clinical data 

Additionally, the Foundation is supporting similar legislation in Congress, known as the Restoring the Patient's Voice Act of 2017 (H.R. 2077). Sponsored by Representatives Brad Wenstrup and Paul Ruiz, H.R. 2077 seeks to ensure a clear and more convenient step therapy appeal process, establishes a timeline for response from insurers, and ensures that the protocols are based on sound clinical data.

Contact us and join the Advocacy Network for more information on how to advocate for step therapy reform!

This program is supported by a charitable contribution form Celgene Corporation, and sponsorships from Pfizer, Inc., Takeda Pharmaceuticals U.S.A., Inc., and UCB, Inc.