Curex is the place to go for all your allergy questions and needs. Led by healthcare entrepreneurs and allergy clinicians, Curex is an integrated, online telemedicine clinic for people who suffer from environmental allergies (e.g., indoor, outdoor or pet), asthma, and eczema.

Curex is the largest online allergy and asthma clinic in the U.S. We started because our clinicians wanted to offer more convenient and affordable allergy and asthma care for everyone. So far we have attracted more than 50,000 customers from every U.S. state. We are proud to have the highest patient satisfaction and loyalty rates in the industry. Our service has been audited and certified by LegitScript.com.

What services do you offer?

Curex provides comprehensive care for those suffering from allergies, asthma, and eczema. This includes customized sublingual immunotherapy, at-home concierge allergy testing, and symptom management. Our goal is to provide accessibility and quality of allergy care in the U.S.

Does Curex accept insurance?

Curex accepts the majority of insurance plans across the United States, including Aetna, Anthem, United, Humana, and others. While it is difficult to estimate out-of-pocket costs prior to a claim being submitted, our team will work with you to make sure your treatment is as affordable as possible. For that purpose, we also cap copays at $500/year. In addition, Curex accepts HSA and FSA.

What conditions do you treat?

We focus on indoor and outdoor allergies caused by environmental or inhalant allergies, like those caused by pollens, weeds, grasses, dust mites, molds, and pets. We also treat allergic asthma and eczema, as these conditions are closely related to allergies.

What is immunotherapy?

Immunotherapy is a longstanding form of treatment that aims to meaningfully reduce the underlying cause of indoor/outdoor allergies and related conditions. It is frequently practiced by using allergen extracts for shots or allergy tablets. Treatment plans are customized to the individual patient based on medical profile, test results, and lifestyle needs.

Can my child use Curex?

Curex serves adults and children as young as 5 years old. Certain tests and treatments may be limited for younger kids. Start by answering the quiz, so that our clinicians can recommend the best testing and treatment options.

Does Curex treat food allergies?

Curex currently treats allergies to tree, weed, grass pollens, pet allergies, dust mites, mold, and cockroach. We do not treat food, metal, venom, or flower allergies.

What is your cancellation policy?

Treatments are shipped in 3-month installments in all plans. Cancellations are accepted prior to the next refill being compounded by the pharmacy (so you can get a partial refund on a prepayment plan). To cancel or pause subscriptions, please email our team at hi@getcurex.com.

How does allergy testing work?

Depending on your location, we send a phlebotomist (medical assistant) to your home or office for a simple blood draw (not a finger prick). This sample is then processed using hospital-grade technology to produce accurate results. In some areas, you may need to go into a local lab for your blood draw. We work with LabCorp and Quest Diagnostics. This is an IgE blood test that results in more accurate results compared to finger prick tests that are available online through some companies. This is not a skin scratch test where an allergist spends 30+ minutes injecting you with small doses of allergens to see if any swelling or reaction occurs.

Is sublingual immunotherapy safe?

Studies have shown a significantly lower risk for anaphylaxis relative to allergy shots, allowing you to take them in the comfort of your own home. If recommended by your Curex-affiliated clinician, or if you prefer, your first dose may be monitored to ensure proper usage. Clinicians will also assist in helping you manage any side effects that you may experience.

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Does Affinity Health Plan Cover Lyrica

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Rating: 4.5 (234 reviews)

Explore if Affinity covers Lyrica, reasons for denial, ways to secure coverage, costs without insurance, and common Lyrica questions in this informative guide.

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Does Affinity Health Plan Cover Lyrica?

Affinity Health Plan may cover Lyrica, a prescription medication used for nerve pain and certain types of seizures, under their drug formulary.

Coverage often depends on the specific plan, as benefits can vary. It's crucial to review the formulary or contact customer service to confirm if Lyrica is included.

Prior authorization may be required, meaning your doctor must demonstrate a medical necessity for using Lyrica over other medications.

In some cases, step therapy might apply, requiring you to try similar, often less expensive, medications before approval for Lyrica is granted.

Ensure that you get a prescription from a healthcare provider within the Affinity Health Plan network to maximize coverage and reduce out-of-pocket costs.

Always verify with Affinity Health Plan for the most current coverage details and any potential updates to their policies.

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Clinical Support

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple. We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Lyrica Coverage with Affinity Health Plan

Start by Reviewing Your Current Coverage

Check your Affinity Health Plan policy to see if Lyrica is included in the covered medications list. This information is often found in the policy documents that outline your prescription coverage.

Identify if there are any restrictions, such as prior authorization, step therapy, or quantity limits, that may apply to Lyrica coverage.

Consult with Your Healthcare Provider

Discuss with your doctor or pharmacist about your need for Lyrica. They can help explain why it’s necessary for your treatment and may have insights into the coverage process.

Your healthcare provider may need to provide documentation or a letter explaining the medical necessity of Lyrica to support your coverage request.

Contact Affinity Health Plan Directly

Reach out to Affinity Health Plan's customer service or member services department. Use the phone number provided on your insurance card to get direct assistance.

Ask specifically about the process for obtaining coverage for Lyrica. Request any forms or documentation they require to initiate the approval process.

Submit a Prior Authorization Request

If necessary, have your healthcare provider submit a prior authorization request on your behalf. This is often required for medications like Lyrica to ensure they are used appropriately and medically necessary.

Ensure all required paperwork, including any letters of medical necessity, are included with the request. Delays can occur if the documentation is incomplete.

Follow Up on Your Request

Monitor the status of your prior authorization request. Affinity Health Plan will provide updates or requests for additional information.

If there are any delays or denials, inquire about the reasons and seek assistance from your healthcare provider to address the issues.

Explore Alternative Options If Necessary

If your request is denied, ask about the appeals process. Affinity Health Plan should provide a step-by-step guide on how to appeal the decision.

Consider alternative medications that may be more readily covered, and consult with your healthcare provider about which options could be effective substitutes.

Happy Customers

We love helping people!

Allie, Nevada

"I have two cats I can finally cuddle!"
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Cat and dog allergies

Zachary, Texas

“I can breathe through my nose for the first time in like 20 years!"

Dust and mold allergies

Erika, New York

“I've noticed less sneezing and shortness of breath.”

Tree and grass allergies

Richard, Texas

I love the convenience!
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Tree and cat allergies

We Treat Food, Indoor & Outdoor Allergies

Tree Pollens

Weed Pollens

Cat Allergies

Dog Allergies

Dust Mites

Molds

Food Allergies

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50,000+ users have overcome their allergies

Am I eligible?

At-home Immunotherapy

Benefits of Curex

At-home treatment

Apply treatments in minutes from the comfort of your own home with under-the-tongue applications instead of shots or pills

5-30x higher cumulative dose vs allergy shots

Sublingual immunotherapy delivers a higher dose of allergens over the course of treatment.

Potential for results in as few as 6 months

Individual results vary but some users have reported a noticeable difference in as few as 6-12 months since starting treatments

Excellent safety profile

Studies that have been reviewed by certified physicians show that sublingual immunotherapy is a safe treatment option

Treatment prescribed
by clinician

Clinicaly made allergen extracts are customized for your allergies

Your immune system gets desensitized to allergens, giving you long-term relief.

FAQs

Does Affinity Health Plan Cover Lyrica

Explore if Affinity covers Lyrica, reasons for denial, ways to secure coverage, costs without insurance, and common Lyrica questions in this informative guide.

Achieve Your Goals Faster with Curex

Is Lyrica Covered by Affinity Health Plan

Does Affinity Health Plan Cover Lyrica?

Affinity Health Plan may cover Lyrica, a prescription medication used for nerve pain and certain types of seizures, under their drug formulary.

Coverage often depends on the specific plan, as benefits can vary. It's crucial to review the formulary or contact customer service to confirm if Lyrica is included.

Prior authorization may be required, meaning your doctor must demonstrate a medical necessity for using Lyrica over other medications.

In some cases, step therapy might apply, requiring you to try similar, often less expensive, medications before approval for Lyrica is granted.

Ensure that you get a prescription from a healthcare provider within the Affinity Health Plan network to maximize coverage and reduce out-of-pocket costs.

Always verify with Affinity Health Plan for the most current coverage details and any potential updates to their policies.

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Start with Curex

Affinity Health Plan's Approved Criteria for Lyrica Coverage

Approved Criteria for Lyrica Coverage

Lyrica is covered for the management of neuropathic pain associated with diabetic peripheral neuropathy.

The medication is approved for fibromyalgia, provided that there is documented evidence of diagnosis by a healthcare professional.

Coverage is available for the treatment of neuropathic pain associated with spinal cord injury.

Affinity Health Plan covers Lyrica for the management of partial onset seizures, as an adjunctive therapy for individuals aged four years and older with epilepsy.

Lyrica is covered for neuropathic pain linked to postherpetic neuralgia, validating the need for long-term pain management support.

Prescribing Conditions

The prescribing healthcare provider must demonstrate that other preferred medications have been ineffective or unsuitable for the individual patient.

An approved diagnosis according to the ICD-10 standards must be recorded in patient documentation for coverage approval.

Lyrica may be prescribed within formulary limits, adhering to both dosage and quantity restrictions as determined by Affinity Health Plan policies.

Why Affinity Health Plan Might Deny Lyrica Coverage

Reasons for Denial of Lyrica Coverage by Affinity Health Plan

Lyrica may be denied if it is not on the formulary list of covered medications, which is determined based on clinical guidelines and cost-effectiveness.

Prescription of Lyrica without meeting the required pre-authorization criteria, such as lack of documented medical necessity or failure to try other covered medications first.

The medication may be denied if prescribed for an off-label use that is not supported by sufficient clinical evidence or not accepted by the plan's guidelines.

Lyrica coverage could be denied if the patient’s specific health plan or tier benefit excludes certain specialty medications or brand-name drugs.

If the prescribed dosage of Lyrica exceeds the FDA-approved or plan-approved limits, it might not qualify for coverage.

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How Much Does Lyrica Cost without Insurance?

Cost of Lyrica Without Insurance

The price of Lyrica without insurance can vary significantly depending on the pharmacy, geographic location, dosage, and quantity. On average, the cost can range between $460 to $720 for a 30-day supply when filling a common dosage such as 150 mg capsules.

Generic versions of Lyrica, known as pregabalin, are often significantly cheaper. The average cost for the generic version might be closer to $30 to $70 for a similar quantity and dosage.

Prices may also vary due to manufacturer's discounts, pharmacy membership programs, or coupon usage, which can help reduce the overall cost.

Comparing prices between local pharmacies or using online price comparison tools can help find the most affordable option.

Clinical Support

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

Jill Hamburg, PA - C

Immunotherapy made simple. We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Kayla Mardaga, NP

How to Get Lyrica Coverage with Affinity Health Plan

Start by Reviewing Your Current Coverage

Check your Affinity Health Plan policy to see if Lyrica is included in the covered medications list. This information is often found in the policy documents that outline your prescription coverage.

Identify if there are any restrictions, such as prior authorization, step therapy, or quantity limits, that may apply to Lyrica coverage.

Consult with Your Healthcare Provider

Discuss with your doctor or pharmacist about your need for Lyrica. They can help explain why it’s necessary for your treatment and may have insights into the coverage process.

Your healthcare provider may need to provide documentation or a letter explaining the medical necessity of Lyrica to support your coverage request.

Contact Affinity Health Plan Directly

Reach out to Affinity Health Plan's customer service or member services department. Use the phone number provided on your insurance card to get direct assistance.

Ask specifically about the process for obtaining coverage for Lyrica. Request any forms or documentation they require to initiate the approval process.

Submit a Prior Authorization Request

If necessary, have your healthcare provider submit a prior authorization request on your behalf. This is often required for medications like Lyrica to ensure they are used appropriately and medically necessary.

Ensure all required paperwork, including any letters of medical necessity, are included with the request. Delays can occur if the documentation is incomplete.

Follow Up on Your Request

Monitor the status of your prior authorization request. Affinity Health Plan will provide updates or requests for additional information.

If there are any delays or denials, inquire about the reasons and seek assistance from your healthcare provider to address the issues.

Explore Alternative Options If Necessary

If your request is denied, ask about the appeals process. Affinity Health Plan should provide a step-by-step guide on how to appeal the decision.

Consider alternative medications that may be more readily covered, and consult with your healthcare provider about which options could be effective substitutes.

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Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

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Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

Lyrica FAQ

What are the common side effects of Lyrica?

Common Side Effects of Lyrica

Dizziness: Frequently reported, often occurring shortly after starting treatment.
Sleepiness: Commonly affects daily activities due to its sedative effects.
Weight Gain: Notable for some, monitoring weight is advised.
Swelling: Particularly in hands and feet; may require medical attention if severe.
Blurred Vision: Usually temporary but should be reported if persistent.
Dry Mouth: Sometimes improved with increased fluid intake.
Difficulty concentrating: Can affect mental clarity and focus.

Is Lyrica the same as gabapentin?

Differences Between Lyrica and Gabapentin

Classification: Both are anticonvulsants but with different active ingredients. Lyrica contains pregabalin, while gabapentin itself is the active substance in gabapentin medications.

FDA Approval: Lyrica is approved for treating fibromyalgia, neuropathic pain, seizures, and generalized anxiety disorder in certain regions. Gabapentin's primary uses are for seizures and nerve pain.

Potency and Dosing: Lyrica is often considered more potent, requiring lower doses to achieve similar effects compared to gabapentin.

Side Effects: Both can cause dizziness and fatigue, but the severity and other side effects can vary between individuals.

Can Lyrica help with anxiety?

Understanding Lyrica and Anxiety

Lyrica (pregabalin) is primarily approved for treating nerve pain, fibromyalgia, and seizures.

Although not FDA-approved for anxiety, it has been used off-label to help some patients manage anxiety symptoms, especially in generalized anxiety disorder (GAD).

Mechanism and Effectiveness

Lyrica works by calming hyper-excited nerves, which may reduce anxiety symptoms by stabilizing neuronal activity.

Clinical studies suggest it can reduce anxiety more effectively than a placebo and comparable to some anxiety medications.

Considerations and Side Effects

Possible side effects include dizziness, sleepiness, and weight gain, which should be considered before off-label use.

Consult your doctor to assess if Lyrica aligns with your specific health needs and to discuss alternate anxiety treatments.

Have questions left?

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Get a personalized online consultation with a doctor at Curex

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Curex is one of America’s largest telehealth providers

Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

“Curex has performed beyond my expectations. I am feeling tremendously better and look forward to continuing the treatment.”

Becky D.

"If I could give 6 stars, I would. BEST... BEST… BEST… service.”

Ferdian K.

“The Curex staff has been professional, efficient, and really focused on my individual needs.”

Ana C.

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A weight management program tailored to you

Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.

Got questions? We have answers.

Do your plans include prescriptions and medications?

Curex plans cover everything from reviewing your medical intake to providing prescription medications, with free shipping included. There are no extra or hidden charges. Prescriptions are issued only after a medical provider reviews your information to confirm that the medication is suitable for you. Our service includes continuous support and regular follow-ups to ensure your treatment stays on track.

Our clinicians may order labs and additional medications for you, which would not be covered by the plan but for which you can use your insurance.

Please note: Compounded medications are tailored to individual needs or used in case of shortages, but they are not FDA-approved for safety or effectiveness. A prescription is required. Results may vary from person to person.

What medications do your providers prescribe?

We prioritize a personalized approach to your health. If your medical provider prescribes medication, options may include GLP-1 treatments such as compounded semaglutide (the active ingredient in Wegovy®* and Ozempic®*). Our providers prescribe only combination treatments not available at your local pharmacy that may include vitamin B12, etc. to help you achieve your goals faster.

Depending on your treatment goals, other medications such as metformin may also be considered. We recognize the importance of managing side effects, so your care plan might include medication to ease symptoms like nausea. Your well-being is always our top priority!

Please note that compounded medications are customized to meet individual patient needs and are not FDA-approved for safety or effectiveness. A prescription is necessary. Results may vary from person to person.

Curex and its pharmacy partners do not have any association with Novo Nordisk.

Will I be prescribed semaglutide if I sign up?

Your health journey is unique, and we tailor our care to match. Any prescriptions, including semaglutide, will be based on the expert assessment of the medical provider matched with you through our platform. You can trust that your treatment plan will be personalized to fit your specific needs. And if semaglutide is not prescribed, we will provide a full refund.

What is compounded medication?

Compounding involves creating customized medications to meet the specific needs of individual patients. For instance, a patient may require a liquid version of a medication that is only available in tablet form. Pharmacies can also compound medications using FDA-approved drugs that are on the FDA’s shortage list.

These compounded medications are made by state-licensed pharmacies that follow both federal and state regulations, including quality standards. However, when compounded in accordance with these laws, these medications are not subject to FDA approval and are not evaluated for safety or effectiveness.

Is compounded medication the same as generic medication?

Compounded medications differ from generic drugs. Generics require FDA approval by demonstrating bio-equivalence to the brand-name drug. In contrast, compounded medications are not FDA-approved. They are made based on a personalized prescription that may not be commercially available elsewhere or when a drug appears on the FDA’s shortage list. Compounding pharmacies must have the proper licensed facilities and comply with state and federal regulations before dispensing these medications.

Is insurance required?

No, Curex doesn’t require insurance. We offer clear and simple pricing, along with affordable medication options, making it easy and accessible to take care of your health.

Can I pay with an FSA or HSA card?

Yes! You can pay with your HSA or FSA card.

How much does treatment cost?

Semaglutide Injections:

Prices for semaglutide start at only $149 per month for weekly doses of 0.25mg and 0.5mg. You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 1mg, 1.7mg and 2.4mg of semaglutide for an additional $50 per month for each plan.

Tirzepatide Injections:

Prices for tirzepatide start at only $249 per month for weekly doses of 2.5mg and 5mg of tirzepatide.You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 7.5mg, 10mg and 12.5mg of tirzepatide for an additional $100 per month for each plan.

Semaglutide Tablets:

Prices for semaglutide tablets start at only $149 per month for daily doses of 2mg. You can cancel anytime. Some people experience weight loss at this dose and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 4mg and 8mg of semaglutide daily for an additional $50 per month for each plan.

Tirzepatide Tablets:

Prices for tirzepatide start at only $199 per month for daily dosees of 3mg of tirzepatide. You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 6mg and 12 mg of tirzepatide daily for an additional $100 per month for each plan.

‍

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. While we don’t prescribe Ozempic^®* or Wegovy^®* directly, we may prescribe treatments containing the same active ingredient. These medications are specially compounded for you by a licensed pharmacy to meet your specific needs.

Are video visits with a provider required?

Our providers will review your information 100% online. Depending on where you live and the specifics of your medical history, our providers may require you to have a video visit or asynchronous visit via text message. If prescribed, you’ll get unlimited online access to message your provider as needed for follow-ups, adjustments, and answers to your questions.

What states do you serve?

Currently, we do not serve Arkansas, Connecticut, and New Mexico. However, we are always working to expand our reach, so stay in touch with us at hi@getcurex.com.

Curex provides allergy care plans for allergies, asthma, eczema and pet allergies.

Curex providers may prescribe sublingual allergy drops that contain the same ingredients as allergy shots but are more convenient & affordable.
‍
Curex-affiliated medical practices are independently owned and operated by licensed physicians who provide services using the Curex telehealth platform.

Compounded medications have not been approved by the FDA and the FDA has not evaluated their safety or efficacy.

Curex, Inc. All rights reserved.

Does Affinity Health Plan Cover Lyrica

Covered

Uncovered

Treat your allergies with Curex - $49 $9.99

Our team is here to help!

How to Get Lyrica Coverage with Affinity Health Plan

We love helping people!

We Treat Food, Indoor & Outdoor Allergies

Benefits of Curex

At-home treatment

5-30x higher cumulative dose vs allergy shots

Potential for results in as few as 6 months

Excellent safety profile

FAQs

Does Affinity Health Plan Cover Lyrica

Is Lyrica Covered by Affinity Health Plan

Affinity Health Plan's Approved Criteria for Lyrica Coverage

Why Affinity Health Plan Might Deny Lyrica Coverage

Together with our partners we have changed the lives of over 300,000 patients.

How Much Does Lyrica Cost without Insurance?

Our team is here to help!

How to Get Lyrica Coverage with Affinity Health Plan

Premium Medication you can trust

What are the common side effects of Lyrica?

Is Lyrica the same as gabapentin?

Can Lyrica help with anxiety?

Curex is one of America’s largest telehealth providers

Start your journey now

A weight management program tailored to you

Initial Dosage

Titration

Additional Treatments

Got questions? We have answers.

Start your
journey now