Clever Care Formulary Resources

Some medications require approval before your plan covers them. Here’s what that means for you:

Prior authorization means your doctor must confirm a drug is medically necessary before the plan will cover it. This helps make sure you get the right medication for your needs.

Step therapy means you may need to try one medication before another is covered. This approach helps you receive safe, effective treatment while keeping costs manageable.

Have questions about whether your medication requires prior authorization or step therapy? We’re here to help—just give us a call.