If you or someone you know have a Fail First (Step Therapy) story to tell, please take action and join other patients advocates who have decided that they are not going to fail first any longer.
Share your story and help prevent Fail First policies from hurting patients
Fail First policies — also known as Step Therapy — are often an insurance practice which requires the least expensive drug in any class to be prescribed to a patient first, even if a patient’s physician believes a different therapy is medically in the best interest for their condition.
There are currently no time limits or restrictions placed on these Fail First policies. Patients, including those with serious and degenerative medical conditions, can be forced to prove that cheaper and often less effective treatments have failed to adequately treat a patient’s condition for an indefinite period of time before the agent initially prescribed by the physician is paid for by the insurance company.
This practice has the potential to result in serious negative consequences for consumers and the public health system. By limiting the array of medication options, both physicians and consumers are forced to compromise their treatment decisions in a way that is dangerous, time consuming and more expensive in the long-term.