DOWNLOADS | STEP THERAPY MEDICAL NECESSITY
Instructions

To obtain Step Therapy authorization, you must:
  1. Print and submit this form to your doctor’s office. When the form is complete, it is to be returned to EHIM.
  2. Fill out and return the form.
The form should be printed, filled out and then faxed or mailed to EHIM. EHIM's fax number is 248-948-9904.

Download the form (PDF).