2025 Part B Step Therapy program

Effective for fill dates on or after Jan. 1, 2025, the following coverage requirements will apply to CarePartners of Connecticut’s Part B Step Therapy program:

• The following new categories will be added to the Part B Step Therapy program: Pemetrexed
• The following existing categories will be updated: Acromegaly, Antiemetics, and Retinal Disorders

In addition to the changes listed above, coverage criteria will be updated to be drug class specific. For more information, refer to our updated Medicare Part B Step Therapy Medical Necessity Guidelines.