ASEBP’s Therapeutic Alternative Reference Pricing (TARP) program encourages cost-effective prescribing for four common medical conditions. The program identifies “preferred” drugs to treat the following:
All the medications identified as preferred alternatives are proven to be equally safe and effective to their brand or generic counterparts. You can visit the Drug Inquiry Tool on My ASEBP to see if a drug you’ve been prescribed has preferred alternatives under the TARP program.
If the drug you’ve been prescribed falls into one of the four categories listed above and has preferred alternatives, you have two options:
If you can’t take the preferred drug for medical reasons (e.g. you have an allergy), the doctor or other licensed health care provider who wrote the prescription can submit a special (pricing) authorization request on your behalf—they have easy access to the required form. If approved, this authorization will ensure you’re covered for the prescribed drug within the limits of your plan.
If you choose to remain on your prescribed drug, pay out-of-pocket for the difference, and then have your health care provider submit a special authorization to ASEBP for review afterward, understand that:
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