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Step Therapy for Part B Drugs

 

Clover Health may require a trial of a Part B preferred drug to treat a medical condition before covering another non-preferred Part B drug.

Note: The step therapy requirement does not apply to members who’ve already received treatment with a non-preferred drug within the past 365 days.

Part B preferred drugs

Clover Health’s Preferred Drug List can be found below for your convenience.

2021 Clover Health Medical Preferred Drug List

1.Alpha1-Proteinase Step Therapy 2021

2. Acromegaly Step Therapy 2021

3. Autoimmune Step Therapy 2021

4. Bevacizumab Step Therapy 2021

5. Botulinum Toxins Step Therapy 2021

6. CSF-Long Acting Step Therpy 2021

7. CSF-Short Acting Step Therapy 2021

8. ESAs Step Therapy 2021

9. Gaucher's Disease Step Therapy 2021

10. GnRH-Prostate Step Therapy 2021

11. Hyaluronates Step Therapy 2021

12. Multiple Sclerosis Step Therapy 2021

13. Ocular Disorders Step Therapy 2021

14. Rituximab products Step Therapy 2021

15. Trastuzumab products Step Therapy 2021


2022 Clover Health Medical Preferred Drug List

1. Alpha1-Proteinase Step Therapy 2022

2. Acromegaly Step Therapy 2022

3. Asthma MED B Step Therapy 2022

4. Autoimmune Step Therapy 2022

5. Bevacizumab Step Therapy 2022

6. Botulinum Toxins Step Therapy 2022

7. CSF-Long Acting Step Therpy 2022

8. CSF-Short Acting Step Therapy 2022

9. ESAs MED B Step Therapy 2022

10. Gaucher's Disease Step Therapy 2022

11. GnRH-Prostate Step Therapy 2022

12. Hyaluronates Step Therapy 2022

13. Multiple Sclerosis Step Therapy 2022

14. Ocular Disorders Step Therapy 2022

15. Rituximab products Step Therapy 2022

16. Trastuzumab products Step Therapy 2022