Health Plan

SDPA Health Plan Priorities

Step Therapy

  • Advocate for limited usage of step therapy requirements and process transparency.

Prior Authorization

  • Advocate for speedier response times for prior authorizations in hope to limit access delays to patients. 

Formulary Exclusions

  • Advocate for formularies to follow up-to-date medical guidelines and cover latest treatment options for skin patients.

Mischaracterization and Classification Issues

Advocating for the alignment of drug classifications with current scientific consensus and latest medical thinking.