A doctor writes out a drug prescription for a patient. (Photo: Lisa-S, via Shutterstock)OPINION: Step therapy forces patients to try insurer-preferred medications before approving the medication initially prescribed by the doctor. Utilized by both public and private insurers, step therapy undermines the clinical judgment of doctors and puts patients’ health at risk.
A pharmacy worker on the the job. (Photo: wavebreakmedia, via Shutterstock)OPINION: In 2018, legislators took positive initial steps to regulate some of the egregious business practices of pharmacy benefit managers (PBMs) – little-known middlemen in the health care system who have contributed to rising costs. However, more must be done to ensure that Californians are able to access affordable treatment options such as receiving cost savings at point of sale at the pharmacy counter, for example.