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Q. What is step therapy?

Q. What types of medications are included in the step therapy program?

A. The BCBS/Rexel program applies to two categories of drugs: • Lipid-lowering drugs (for high cholestrol) • Proton pump inhibitor drugs (for heartburn, acid reflux, etc.)

Q. Why does my prescription benefit include step therapy?

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Some of the most popular name-brand drugs in the step therapy program include:

Lipid-lowering drugs: • Crestor • Lipitor • Mevacor • Pravachol • Pravachol • Vytorin • Zocor

This list is not exhaustive and may change from time to time. Ask your doctor to check the BCBSTX website before writing a name-brand prescription in these two drug categories.

A. The vast majority of medications covered under your pharmacy benefit are not included in a step therapy program.

When you present a prescription to the pharmacist for a lipid-lowering or proton pump inhibitor drug in the step therapy program, the prescription will be immediately and automatically checked against your recent prescription claims historclaims history. If the available prescription history shows that you have already tried alternative or first-line drugs, then your prescription may be automatically approved, right there at the pharmacy.

Q. How will step therapy affect me? Q. What medications are included in the step therapy program?

Proton pump inhibiting drugs: • Nexium • Prevacid • Protonix • Zegerid

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