25 msfocusmagazine.org • Why the alternative(s) listed to be used with step therapy has been or is likely to be less effective or have adverse effects. If the formulary exception is denied, you’ll get a notice explaining why, along with instructions on appealing. If you appeal, ask for a copy of your case file. Medicaid Underfederal law, states can decidewhether or not to provide prescription coverage for Medicaid recipients. As of 2018, all states do. All FDA-approved outpatient drugs made by manufacturers who enter into a rebate agreement with the Secretary of HHS must be covered by states that provide Medicaid prescription drug plans. Each state has its own Medicaid formulary, usually divided into “preferred” or “nonpreferred” drugs. Preferred drugs do not require special authorization to use (except in certain circumstances). To get prior authorization for nonpreferred drugs, your doctor must present evidence supporting why the drug you’ve requested is better for your condition than a preferred drug in the same category. Sometimes you may have to try a particular drug or two (step therapy) before getting prior authorization for the drug you want to use. Usually you must pay more for drugs on the non-preferred list. You have the right to appeal if the authorization is denied. Follow the instructions provided by your plan. HFAD (Hip Flexion Assist Device) is intended for individuals with Multiple Sclerosis who are currently ambulatory, but have dif culty initiating swing due to hip exor weakness. The HFAD is designed to improve gait and consists of a comfortable waist band and two dynamic tension bands that attach to the shoe. The device may be worn over or under clothing and should only be used under the direction of a physical therapist or orthotist. To purchase the HFAD, a physician’s prescription is required for both the HFAD and Gait Training. For more information, please visit Brphfad.com, or call 888-344-0450 to speak with one of our customer service representatives. R E H A B I L I T A T I O N P R O D U C T S p: 888.344.0450 f: 248.588.5351 Brphfad.com Scan the QR Code to view an informative video on the HFAD Put a spring in your step with the HFAD!  “The HFAD is amazing. My foot is able to lift off the ground and I am able to walk with much more stability and endurance than I have in the past two years.” Alina M. Willing