Maintenance Drug C Prescribed Maintenance Drug A Prescribed 90 Day Maintenance Fill Without Step Therapy With Step Therapy Maintenance Drug C Prescribed Claim rejects for Step Therapy Maintenance Drug A Prescribed First Fill - Drug A filled for 31 days at retail Second Fill - Drug A filled for 31 days at retail First 31 day fill at Retail Can change to 90 day fills at any point within this process If Drug A didn’t work and you move to the next step, 2 more Retail fills are allowed 90 day fill required – Mail Order 90 day fill required – Retail Second 31 day fill at Retail First Fill - Drug B filled for 31 days at Retail Second Fill - Drug B filled for 31 days at Retail 90 day fill required – Mail Order 90 day fill required – Retail 2 Retail fills of 31 days are allowed before a mandatory 90 day fill at either Mail or Retail This process will continue for other drugs in the Step Therapy process