It's taken years for Dr. Ronald Sroka, a Crofton, Md., primary care physician, to hone his skill at prescribing what he considers the right medications. His patients' insurance companies may not agree. And in what's called “step therapy,” those insurers can also refuse to pay for drugs unless a patient has tried and failed with older, presumably cheaper, therapies first.
Physicians seek curbs on insurer limits for medications
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