Sedative Hypnotics Step Therapy Program

A step therapy program is in place for sedative hypnotics.

Sedative hypnotics include generic Ambien (zolpidem tartrate), Ambien, Ambien CR, Sonata, Lunesta, and Rozerem.

Program Details

Here are the steps to follow for sedative hypnotics to be a covered benefit for your patients.

• First prescribe generic Ambien (zolpidem tartrate)
• If you determine generic Ambien is not effective, you can prescribe one of the other sedative hypnotics

When following step therapy guidelines, no prior authorization (PA) is necessary. The prescription for the next level of sedative hypnotic will automatically approve if there is prior history in the claims system of generic Ambien.

If you believe it is medically appropriate for you patient to “skip” steps, you will need to submit a prior authorization request and receive approval for the drug to be covered.

Copyright© 2009 Wellmark, Inc. All Rights Reserved.
Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross®, Blue Shield®, and the Cross® and Shield® symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.