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Clinical Program Drug Step Therapy - Commercial

For fully insured UnitedHealthcare Commercial members in New Jersey, this program is called First Start.

Step therapy programs help encourage use of less expensive, but similarly effective medications. Members must try a lower-cost medication (known as step 1) before progressing to a higher-cost alternative (known as step 2).

Commercial Step Therapy

UnitedHealthcare makes pharmacy coverage decisions based on an understanding of how our coverage affects total health care. We do this by integrating pharmacy coverage with medical management, accessing information in a database including pharmacy, medical and laboratory data.