What does TGST mean in THERAPY
Traditional Generic Step Therapy (TGST) is an optional form of prior authorization coverage that helps insure benefits companies manage the cost of prescription medications. It requires that a brand-name drug prescribed must first have been tried on a generic medication.
TGST meaning in Therapy in Medical
TGST mostly used in an acronym Therapy in Category Medical that means Traditional Generic Step Therapy
Shorthand: TGST,
Full Form: Traditional Generic Step Therapy
For more information of "Traditional Generic Step Therapy", see the section below.
Essential Questions and Answers on Traditional Generic Step Therapy in "MEDICAL»THERAPY"
What is traditional generic step therapy?
Traditional generic step therapy, or TGST, is an optional form of prior authorization coverage for benefits companies to manage the cost of prescription medications. This type of coverage requires that a brand-name drug prescribed must first have been attempted with a generic version before being approved for coverage.
What are the advantages of traditional generic step therapy?
With traditional generic step therapy, benefits companies can save money and pass these savings onto customers by requiring that physicians attempt a more affordable or cost-effective treatment before approving a brand-name option. In addition, traditional generic step therapy can ensure that patients receive the most appropriate care for their current medical condition.
Who pays for the brand-name prescription in traditional generic step therapy?
Typically with traditional generic step therapy, if a patient's physician can provide evidence that the generic option had not been successful in treating their medical condition compared with the brand-name version, then the insurance company may cover any costs associated with the recommended brand-name drug.
How long does it take for approval after requesting traditional generic step therapy?
The time it takes for approval depends on several factors such as how many requests were received before yours, which pharmacy is receiving them and if all required documents have been submitted correctly and on time. On average, it usually takes three to five days to approve a request after submitting all required documents via fax or mail.
Final Words:
Traditional Generic Step Therapy (TGST) is an important tool used by insurance companies to help manage costs associated with prescription drugs and ensure members receive safe and effective treatments to meet their medical needs. By having patients at least attempt using generics before providing approval for branded drugs, TGST helps keep costs low while ensuring patient safety and satisfaction is kept paramount.
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