Does Blue Cross Blue Shield of Alabama Cover Dulera

Explore coverage for Dulera under Blue Cross Blue Shield of Alabama, reasons for denial, ways to ensure coverage, costs without insurance, and FAQs.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Coverage for Dulera

 

  • Blue Cross Blue Shield of Alabama may cover Dulera, an asthma medication, under certain plans. Coverage can vary based on your specific policy details.
  •  

  • Dulera is typically covered under the prescription drug benefit. However, prior authorization could be required, ensuring the drug is medically necessary.

 

Basic Rules & Criteria

 

  • Diagnosis: Coverage often requires a confirmed asthma diagnosis that aligns with Dulera’s indications.
  •  

  • Step Therapy: You might need to try other medications first before Dulera is approved, adhering to step therapy protocols.
  •  

  • Insurance Plan: Check your specific plan details as coverage can vary significantly between different policies.
  •  

  • Prescription Guidelines: Ensure prescriptions follow BCBS of Alabama’s guidelines and protocols for dosage and administration.

 

Steps to Confirm Coverage

 

  • Contact Customer Service: Verify directly with Blue Cross Blue Shield of Alabama by calling the number on your insurance card.
  •  

  • Provider Verification: Consult with your healthcare provider to confirm if Dulera is included in your treatment plan and meets insurance criteria.

Want to try immunotherapy?

Start with Curex

Covered

Uncovered

Treat your allergies with Curex - $49  $9.99

Review your allergy test results with a Curex allergist.

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 Dulera Coverage with Blue Cross Blue Shield of Alabama

 

Check Your Plan Details

 

  • Log in to your Blue Cross Blue Shield of Alabama (BCBSAL) member account on their official website.
  •  

  • Navigate to the ‘Coverage & Benefits’ section to verify if Dulera is covered under your current health plan.
  •  

  • Review the list of medications covered under your prescription benefits to confirm if Dulera is included.

 

Consult With Your Healthcare Provider

 

  • Discuss with your healthcare provider about your prescription needs and ensure that Dulera is necessary for your condition.
  •  

  • Request your healthcare provider to provide a comprehensive prescription including the required dosage and frequency.

 

Prescription Documentation

 

  • Ensure that your prescription from your healthcare provider is detailed and complies with any specific requirements set by BCBSAL for coverage eligibility.
  •  

  • Contact your healthcare provider's office to send your prescription directly to a participating pharmacy in the BCBSAL network.

 

Utilize the Online Resources

 

  • Use the BCBSAL online pharmacy tools to determine if your plan requires prior authorization for Dulera.
  •  

  • If prior authorization is needed, download and complete any necessary forms from the BCBSAL website.

 

Submit Prior Authorization

 

  • Have your healthcare provider assist in submitting the completed prior authorization form to BCBSAL.
  •  

  • Make sure all forms and supporting documentation are sent to the correct contact details specified by BCBSAL.

 

Follow Up With Customer Service

 

  • Contact BCBSAL customer service to confirm that your prior authorization request has been received and is being processed.
  •  

  • Ask for an estimated timeline for when you can expect a decision on your prescription coverage request.

 

Review Approval or Denial Notification

 

  • Once processed, BCBSAL will notify you of the approval or denial of your request for Dulera coverage.
  •  

  • If approved, verify the details related to co-pays or additional costs associated with the prescription.
  •  

  • If denied, consult with your healthcare provider to explore alternative solutions or resubmit with additional documentation if required.

 

Fill Your Prescription

 

  • After approval, take your prescription to a participant network pharmacy or utilize BCBSAL's mail-order service to obtain Dulera.
  •  

  • Make sure to present your BCBSAL member ID to receive the discounted rate if applicable.

 

Curex allergy drops unboxing

We love helping people!

Allie, Nevada

five stars

"I have two cats I can finally cuddle!"

Cat and dog allergies

Zachary, Texas

five stars

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

dust allergy
mold allergy

Dust and mold allergies

Erika, New York

five stars

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

tree allergy
grass allergy

Tree and grass allergies

Richard, Texas

five stars


I love the convenience!

tree allergy

Tree and cat allergies

We Treat Food, Indoor & Outdoor Allergies

tree allergy
Tree Pollens
maple leaf icon
Weed Pollens
Cat Allergies
Dog Allergies
insect icon
Dust Mites
mold allergy
Molds
Food Allergies
 curex user showing allergy treatment kita patient showing allergy treatment boxa male patient showing allergy drops vial
50,000+ users have overcome their allergies
Am I eligible?

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
male medical practitioner smiling

Treatment prescribed
by clinician

1
right line icon
Curex packaging

Clinicaly made allergen extracts are customized for your allergies

2
right line icon
insect icon
grass icon
man opening Curex packaging

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

3

FAQs

Does Blue Cross Blue Shield of Alabama Cover Dulera

Explore coverage for Dulera under Blue Cross Blue Shield of Alabama, reasons for denial, ways to ensure coverage, costs without insurance, and FAQs.
Curex allergy drops unboxing

Is Dulera Covered by Blue Cross Blue Shield of Alabama

 

Coverage for Dulera

 

  • Blue Cross Blue Shield of Alabama may cover Dulera, an asthma medication, under certain plans. Coverage can vary based on your specific policy details.
  •  

  • Dulera is typically covered under the prescription drug benefit. However, prior authorization could be required, ensuring the drug is medically necessary.

 

Basic Rules & Criteria

 

  • Diagnosis: Coverage often requires a confirmed asthma diagnosis that aligns with Dulera’s indications.
  •  

  • Step Therapy: You might need to try other medications first before Dulera is approved, adhering to step therapy protocols.
  •  

  • Insurance Plan: Check your specific plan details as coverage can vary significantly between different policies.
  •  

  • Prescription Guidelines: Ensure prescriptions follow BCBS of Alabama’s guidelines and protocols for dosage and administration.

 

Steps to Confirm Coverage

 

  • Contact Customer Service: Verify directly with Blue Cross Blue Shield of Alabama by calling the number on your insurance card.
  •  

  • Provider Verification: Consult with your healthcare provider to confirm if Dulera is included in your treatment plan and meets insurance criteria.

A weight management program tailored to you

Start with Curex

Blue Cross Blue Shield of Alabama's Approved Criteria for Dulera Coverage

 

Approved Criteria for Dulera Coverage

 

  • The patient must have a diagnosis of asthma and is 12 years of age or older.
  •  

  • Dulera must be prescribed by or in consultation with an allergist, immunologist, or pulmonologist.
  •  

  • The patient must demonstrate an inadequate response to a maximum tolerated dose of inhaled corticosteroids (ICS) or show that asthma is uncontrolled with daily ICS treatment combined with other required therapies (e.g., long-acting beta-agonists).
  •  

  • The prescribing authority should provide documentation of a recent attempt and failure, or contraindication, of other preferred chronic therapy options such as inhaled corticosteroids combined with long-acting beta-agonists or leukotriene modifiers.
  •  

  • For continued coverage, documentation of clinical benefit from Dulera should be provided during renewal requests—typically improvement in lung function, better asthma control, and/or reduced exacerbations must be noted.
  •  

  • The initial approval is usually for a certain duration, often 6 to 12 months, with subsequent renewals contingent upon adherence to therapy and positive response.

 

Why Blue Cross Blue Shield of Alabama Might Deny Dulera Coverage

 

Dulera Coverage Denial Criteria

 

  • Mismatched Prescription Information: Coverage may be denied if there is a discrepancy between the prescription details submitted and the patient's medical records.
  •  

  • Non-Formulary Medication: Dulera might be categorized under non-preferred or non-formulary medications, leading to a denial of coverage unless specific conditions are met.
  •  

  • Lack of Prior Authorization: If prior authorization documentation is not completed or approved by Blue Cross Blue Shield of Alabama, coverage for Dulera may be denied.
  •  

  • Exceeding Prescription Limits: Coverage can be denied if the prescription exceeds the quantity limits set by the insurance plan.
  •  

  • Off-Label Use: Dulera prescribed for conditions other than those approved by the FDA or not supported by the insurer's guidelines may not be covered.
  •  

  • Failure to Meet Step Therapy Requirements: Denial may occur if the patient has not tried alternative therapies or medications as required by the insurance plan before using Dulera.
  •  

  • Non-Compliance with Plan Guidelines: Coverage might be denied if the usage of Dulera is not in line with the guidelines or protocols established by Blue Cross Blue Shield of Alabama.

 

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

How Much Does Dulera Cost without Insurance?

 

Approximate Cost of Dulera Without Insurance

 

  • The cost of Dulera, which is used to help control symptoms of asthma, can vary depending on the pharmacy and location. However, the typical price for a one-month supply (inhaler) of Dulera without insurance is approximately $250 to $350.
  •  

  • This price may differ based on dosage strength, and whether you're purchasing a brand name or a generic version if available.
  •  

  • Prices can fluctuate, and it is advisable to check with different pharmacies or consider using discount cards or coupons that might be available to reduce the cost.
  •  

  • Additionally, some pharmaceutical companies offer patient assistance programs for those who qualify, which can significantly lower the cost of Dulera.

 

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 Dulera Coverage with Blue Cross Blue Shield of Alabama

 

Check Your Plan Details

 

  • Log in to your Blue Cross Blue Shield of Alabama (BCBSAL) member account on their official website.
  •  

  • Navigate to the ‘Coverage & Benefits’ section to verify if Dulera is covered under your current health plan.
  •  

  • Review the list of medications covered under your prescription benefits to confirm if Dulera is included.

 

Consult With Your Healthcare Provider

 

  • Discuss with your healthcare provider about your prescription needs and ensure that Dulera is necessary for your condition.
  •  

  • Request your healthcare provider to provide a comprehensive prescription including the required dosage and frequency.

 

Prescription Documentation

 

  • Ensure that your prescription from your healthcare provider is detailed and complies with any specific requirements set by BCBSAL for coverage eligibility.
  •  

  • Contact your healthcare provider's office to send your prescription directly to a participating pharmacy in the BCBSAL network.

 

Utilize the Online Resources

 

  • Use the BCBSAL online pharmacy tools to determine if your plan requires prior authorization for Dulera.
  •  

  • If prior authorization is needed, download and complete any necessary forms from the BCBSAL website.

 

Submit Prior Authorization

 

  • Have your healthcare provider assist in submitting the completed prior authorization form to BCBSAL.
  •  

  • Make sure all forms and supporting documentation are sent to the correct contact details specified by BCBSAL.

 

Follow Up With Customer Service

 

  • Contact BCBSAL customer service to confirm that your prior authorization request has been received and is being processed.
  •  

  • Ask for an estimated timeline for when you can expect a decision on your prescription coverage request.

 

Review Approval or Denial Notification

 

  • Once processed, BCBSAL will notify you of the approval or denial of your request for Dulera coverage.
  •  

  • If approved, verify the details related to co-pays or additional costs associated with the prescription.
  •  

  • If denied, consult with your healthcare provider to explore alternative solutions or resubmit with additional documentation if required.

 

Fill Your Prescription

 

  • After approval, take your prescription to a participant network pharmacy or utilize BCBSAL's mail-order service to obtain Dulera.
  •  

  • Make sure to present your BCBSAL member ID to receive the discounted rate if applicable.

 

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.

Dulera FAQ

What are the side effects of Dulera?

 

Common Side Effects of Dulera

 

  • Headache
  • Sore throat
  • Sinus pain
  • Nosebleed
  • Oral thrush (fungal infection)

 

Serious Side Effects

 

  • Wheezing or breathing problems
  • Severe allergic reactions (rash, itching/swelling)
  • Vision problems
  • Reduced bone density with long-term use

 

Monitoring and Precautions

 

  • Regularly check bone health and eye exams
  • Rinse mouth after inhalation to prevent oral infections
  • Consult your doctor if side effects worsen or persist

 

How does Dulera work for asthma?

 

Mechanism of Action

 

  • Dulera is a combination inhaler containing mometasone (a corticosteroid) and formoterol (a long-acting beta-agonist).
  •  

  • Mometasone reduces inflammation in the airways, minimizing swelling and irritation.
  •  

  • Formoterol relaxes bronchial muscles, improving airflow and easing breathing.

 

Benefits for Asthma

 

  • Helps prevent asthma attacks by maintaining open airways over long periods.
  •  

  • Decreases the usage frequency of rescue inhalers due to improved control of symptoms.

 

Usage Guidance

 

  • Use regularly as prescribed, even without current symptoms, for effective management.
  •  

  • Rinse mouth after inhalation to reduce risks of oral thrush from corticosteroid use.

 

Consultation Necessity

 

  • Discuss with healthcare provider if side effects occur or asthma symptoms do not improve.

 

Is Dulera a steroid inhaler?

 

Is Dulera a Steroid Inhaler?

 

  • Dulera is a combination inhaler used for asthma management, containing both formoterol, a long-acting beta-agonist (LABA), and mometasone furoate, which is a corticosteroid.
  •  

  • Corticosteroids in Dulera are used to reduce inflammation in the airways, helping to prevent and control asthma symptoms.
  •  

  • Formoterol helps in relaxing muscles around the airways, making breathing easier by widening the air passages.
  •  

  • It's essential to use Dulera regularly for it to be effective; it is not intended for relief of acute asthma attacks.
  •  

  • Patients should be aware of potential side effects like throat irritation or thrush due to the steroid component, and rinsing the mouth after use may help minimize these risks.

 

Have questions left?

Get a personalized online consultation with a doctor at Curex

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.

Start your
journey now

Everything you need is included:

Online consultation

Your prescription

Premium medication

Overnight shipping

Ongoing support

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.

Made in Webflow