Does Amerigroup Cover Benzphetamine (Didrex)

Explore coverage details for Benzphetamine (Didrex) with Amerigroup. Learn why it might be denied, how to secure coverage, costs without insurance, and FAQs.
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Coverage for Benzphetamine (Didrex) by Amerigroup

 

  • Benzphetamine (Didrex) may be covered by Amerigroup under certain circumstances, particularly for individuals diagnosed with obesity and requiring weight management as part of a comprehensive treatment plan.
  •  

  • Coverage often requires meeting specific medical criteria, which may include a documented history of unsuccessful weight loss efforts through diet and exercise alone.
  •  

  • Prior authorization is typically necessary, involving a healthcare provider's submission of a request to demonstrate medical necessity.
  •  

  • The patient might need to fulfill any other stipulations such as a body mass index (BMI) above a certain threshold or the presence of weight-related health conditions.
  •  

  • Out-of-pocket expenses may vary based on the specific Amerigroup plan; therefore, reviewing plan specifics and contacting Amerigroup directly for confirmation is advisable.

 

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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.

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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.

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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 Benzphetamine (Didrex) Coverage with Amerigroup

 

Verify Your Coverage

 

  • Contact Amerigroup customer service to confirm that Benzphetamine (Didrex) is covered under your current plan. In some cases, certain medications might require prior authorization or documentation by your healthcare provider.
  •  

  • Review your policy documentation related to prescription drug coverage to understand any specific requirements or restrictions related to weight loss medications like Benzphetamine.

 

Consult with Your Healthcare Provider

 

  • Discuss your need for Benzphetamine with your healthcare provider, who can determine if it's an appropriate prescription for you.
  •  

  • Your doctor may need to provide a diagnosis and a rationale for prescribing Benzphetamine, which could be necessary for Amerigroup to process the coverage.

 

Initiate Prior Authorization

 

  • If prior authorization is required, your healthcare provider will need to submit a form to Amerigroup explaining why Benzphetamine is medically necessary for you.
  •  

  • Ensure that all supporting documents, such as your medical history and previous treatments, are submitted to expedite the approval process.

 

Follow Up on Authorization Status

 

  • Contact Amerigroup after your doctor has sent the prior authorization request to verify its status.
  •  

  • Keep a record of your communication, including dates and reference numbers, to ensure a smooth follow-up if needed.

 

Understand Financial Implications

 

  • If Benzphetamine is covered, check with Amerigroup to learn about any copayment or coinsurance responsibilities you may have.
  •  

  • Ask about available generic alternatives, which can be more cost-effective and more readily covered by your insurance plan.

 

Fill Your Prescription

 

  • Once coverage is confirmed, submit your prescription to a pharmacy that works with Amerigroup.
  •  

  • Verify that the pharmacy processes the insurance correctly and applies any applicable coverage before completing the purchase.

 

Address Any Coverage Issues

 

  • If your coverage request is denied, ask for a detailed explanation and seek clarification from Amerigroup about their decision-making process.
  •  

  • You may need to appeal the decision, in which case support from your healthcare provider and submission of additional documentation could strengthen your case.

 

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FAQs

Does Amerigroup Cover Benzphetamine (Didrex)

Explore coverage details for Benzphetamine (Didrex) with Amerigroup. Learn why it might be denied, how to secure coverage, costs without insurance, and FAQs.
Curex allergy drops unboxing

Is Benzphetamine (Didrex) Covered by Amerigroup

 

Coverage for Benzphetamine (Didrex) by Amerigroup

 

  • Benzphetamine (Didrex) may be covered by Amerigroup under certain circumstances, particularly for individuals diagnosed with obesity and requiring weight management as part of a comprehensive treatment plan.
  •  

  • Coverage often requires meeting specific medical criteria, which may include a documented history of unsuccessful weight loss efforts through diet and exercise alone.
  •  

  • Prior authorization is typically necessary, involving a healthcare provider's submission of a request to demonstrate medical necessity.
  •  

  • The patient might need to fulfill any other stipulations such as a body mass index (BMI) above a certain threshold or the presence of weight-related health conditions.
  •  

  • Out-of-pocket expenses may vary based on the specific Amerigroup plan; therefore, reviewing plan specifics and contacting Amerigroup directly for confirmation is advisable.

 

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Start with Curex

Amerigroup's Approved Criteria for Benzphetamine (Didrex) Coverage

 

Criteria for Benzphetamine (Didrex) Coverage by Amerigroup

 

  • The patient must have a documented diagnosis of exogenous obesity with a Body Mass Index (BMI) of 30 kg/m² or higher, or 27 kg/m² or higher with a related comorbidity such as type 2 diabetes, hypertension, or dyslipidemia.
  •  

  • There should be a documented history of previous weight loss attempts, including at least two non-pharmacological weight loss methods (such as lifestyle modification, dietary changes, and increased physical activity), with insufficient efficacy or inability to sustain weight loss.
  •  

  • The prescriber must provide a comprehensive treatment plan that includes Benzphetamine as part of a multimodal approach to weight loss, emphasizing the continuation of lifestyle and behavioral interventions.
  •  

  • Benzphetamine (Didrex) should be prescribed by a healthcare professional with expertise in managing obesity as part of an integrated obesity management program.
  •  

  • The initial prescription may be covered for up to 12 weeks. Continued coverage beyond this period requires documented evidence of satisfactory weight loss (typically at least 5% of baseline weight) and adherence to the overall treatment plan.
  •  

  • The patient should not have contraindications for the use of sympathomimetic amines, such as current cardiovascular diseases, hyperthyroidism, glaucoma, or history of drug abuse.
  •  

  • A regular assessment of the patient's progress and potential side effects should be documented and submitted for extending medication coverage.
  •  

  • The coverage is limited to adult patients, and the patient must be at least 17 years old.
  •  

  • Concurrent use of Benzphetamine with other anorectic agents is not recommended and should be avoided unless specifically justified and documented by the prescriber.

 

Why Amerigroup Might Deny Benzphetamine (Didrex) Coverage

 

Situations Where Benzphetamine (Didrex) is Not Covered

 

  • Not a Medically Necessary Treatment: Coverage may be denied if Benzphetamine is not deemed medically necessary based on Amerigroup's clinical guidelines.
  •  

  • Lack of Prior Authorization: Coverage might be denied if the required prior authorization has not been obtained before the prescription is filled.
  •  

  • Non-Compliance with Weight Loss Program: If the patient is not participating in a comprehensive weight loss program (including diet, exercise, and behavioral modification), coverage may be denied.
  •  

  • Previous Ineffectiveness: Amerigroup may deny coverage if the patient has previously used Benzphetamine without achieving significant weight loss or desired therapeutic results.
  •  

  • Dosage and Duration Limits: If prescribed dosages exceed the recommended limits or the duration of use surpasses what Amerigroup considers safe and effective, coverage can be denied.
  •  

  • Age Restrictions: Coverage might be denied if the patient does not fall within the approved age range specified by Amerigroup for Benzphetamine.
  •  

  • Contraindications and Warnings: If the patient has conditions or is taking medications that contraindicate the use of Benzphetamine, coverage might be denied.
  •  

  • Other Less Costly Alternatives: Coverage may be denied if there are equally effective and less expensive treatment options available.

 

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How Much Does Benzphetamine (Didrex) Cost without Insurance?

 

Understanding Benzphetamine (Didrex) Cost

 

  • Benzphetamine, commonly known by the brand name Didrex, is a prescription medication used as a short-term adjunct in weight reduction therapy.
  •  

  • The cost of Benzphetamine without insurance can vary significantly depending on the pharmacy and the dosage prescribed.
  •  

  • On average, the cost for a 30-day supply of Benzphetamine (50 mg tablets) can range from $40 to $70.
  •  

  • Prices may be higher or lower, depending on location, pharmacy pricing policies, and available discounts or coupons.
  •  

  • Pharmacy discount programs and generic versions of the drug may offer cost savings.

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 Benzphetamine (Didrex) Coverage with Amerigroup

 

Verify Your Coverage

 

  • Contact Amerigroup customer service to confirm that Benzphetamine (Didrex) is covered under your current plan. In some cases, certain medications might require prior authorization or documentation by your healthcare provider.
  •  

  • Review your policy documentation related to prescription drug coverage to understand any specific requirements or restrictions related to weight loss medications like Benzphetamine.

 

Consult with Your Healthcare Provider

 

  • Discuss your need for Benzphetamine with your healthcare provider, who can determine if it's an appropriate prescription for you.
  •  

  • Your doctor may need to provide a diagnosis and a rationale for prescribing Benzphetamine, which could be necessary for Amerigroup to process the coverage.

 

Initiate Prior Authorization

 

  • If prior authorization is required, your healthcare provider will need to submit a form to Amerigroup explaining why Benzphetamine is medically necessary for you.
  •  

  • Ensure that all supporting documents, such as your medical history and previous treatments, are submitted to expedite the approval process.

 

Follow Up on Authorization Status

 

  • Contact Amerigroup after your doctor has sent the prior authorization request to verify its status.
  •  

  • Keep a record of your communication, including dates and reference numbers, to ensure a smooth follow-up if needed.

 

Understand Financial Implications

 

  • If Benzphetamine is covered, check with Amerigroup to learn about any copayment or coinsurance responsibilities you may have.
  •  

  • Ask about available generic alternatives, which can be more cost-effective and more readily covered by your insurance plan.

 

Fill Your Prescription

 

  • Once coverage is confirmed, submit your prescription to a pharmacy that works with Amerigroup.
  •  

  • Verify that the pharmacy processes the insurance correctly and applies any applicable coverage before completing the purchase.

 

Address Any Coverage Issues

 

  • If your coverage request is denied, ask for a detailed explanation and seek clarification from Amerigroup about their decision-making process.
  •  

  • You may need to appeal the decision, in which case support from your healthcare provider and submission of additional documentation could strengthen your case.

 

Premium Medication you can trust

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.

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.

Benzphetamine (Didrex) FAQ

What are the side effects of Benzphetamine (Didrex)?

 

Common Side Effects

 

  • Insomnia
  • Nervousness
  • Dizziness
  • Dry Mouth
  • Headache
  • Constipation

 

Severe Side Effects

 

  • Increased Blood Pressure
  • Heart Palpitations
  • Seizures
  • Severe Mood Changes
  • Chest Pain
  • Breathing Difficulties

 

Important Considerations

 

  • If you experience severe side effects, seek medical attention immediately.
  • Use cautiously if you have a history of cardiovascular conditions.
  • Avoid usage in individuals with a history of drug abuse.
  • Always follow the prescribed dosage to minimize risks.
  • Inform your doctor of any existing health conditions or medications.

 

How does Benzphetamine help with weight loss?

 

Mechanism of Action

 

  • Benzphetamine is an appetite suppressant. It stimulates the central nervous system, which increases heart rate and blood pressure.
  •  
  • This leads to a reduced appetite and a feeling of fullness, helping individuals to control their caloric intake.

 

Usage Guidelines

 

  • It should be used as part of a comprehensive weight loss plan, including diet, exercise, and behavioral modification.
  •  
  • Typically prescribed for short-term use to jump-start weight loss efforts.

 

Precautions

 

  • Not suitable for individuals with a history of cardiovascular diseases, hyperthyroidism, or glaucoma.
  •  
  • It may cause side effects such as insomnia, dizziness, and dry mouth.

Is Benzphetamine similar to Phentermine?

 

Similarity between Benzphetamine and Phentermine

 

  • Benzphetamine (Didrex) and Phentermine are both stimulant medications primarily used to treat obesity.
  •  

  • They function as appetite suppressants by affecting the central nervous system.
  •  

  • Both are chemically related to amphetamines but are not classified as amphetamines themselves.

 

Differences

 

  • Benzphetamine is a prodrug and metabolizes into amphetamine and methamphetamine, while Phentermine does not convert into amphetamine derivatives.
  •  

  • Phentermine is generally preferred due to a more established safety profile and fewer side effects compared to Benzphetamine.
  •  

  • Phentermine is typically dosed once daily, whereas Benzphetamine might require multiple doses.

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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.

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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.

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