Which of these statements is true about the drug utilization management rules?

The statement that drug utilization management rules include rules such as step therapy and prior authorization is accurate. These management practices are implemented by insurance plans, including Medicare Advantage, to ensure that medications are used effectively and appropriately.

Step therapy requires patients to try less expensive or more preferred medications before accessing more costly treatments. This approach aims to control expenses and promote the use of proven therapies first. Prior authorization necessitates that the healthcare provider obtain approval from the insurance plan before a specific medication is dispensed, which can prevent unnecessary prescriptions and ensure that the prescribed drugs are medically necessary.

The utilization management strategies help in managing prescription drug costs and optimizing treatment pathways while balancing patient access to necessary medications. Hence, these rules are an integral part of medication management in the landscape of healthcare, particularly in Medicare programs.