Massachusetts

Step therapy protocol

In accordance with Massachusetts law, all fully insured commercial Massachusetts plans have an exception process and a continuation of coverage policy for drugs that are subject to step therapy. When a Member has already been prescribed and is stable on a drug subject to step therapy requirements, the Plan will allow a one-time transition fill for up to 30-day supply of the requested drug while the step therapy request is being reviewed.

Privacy information

How we protect your privacy.

Plan information

At Harvard Pilgrim, our goal is to provide you with detailed plan information to help guide you toward making the very best health care decisions for you and your family. Log in to your account and click on Plan Details and then View My Plan Documents to view, download, save and print benefits and coverage documents — including your benefit handbook.