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Does Blue Cross Blue Shield of Arizona Cover Benzphetamine (Didrex)

Explore coverage for Benzphetamine by Blue Cross Blue Shield of Arizona, costs without insurance, and tips to secure approval. Get informed with our FAQ section.
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Coverage for Benzphetamine (Didrex)

 

  • Blue Cross Blue Shield of Arizona typically covers prescription medications that are medically necessary, including Benzphetamine (Didrex), used as part of a short-term regimen for weight loss.

    •  

  • Coverage may require prior authorization, demonstrating that alternative weight loss methods have been ineffective.

    •  

  • Patients often need documentation of a Body Mass Index (BMI) above a specific threshold, usually around 30, to qualify for coverage.

    •  

  • The prescription must be written by a licensed healthcare provider who considers the medication necessary.

 

Basic Rules and Criteria

 

  • Ensure that Benzphetamine is on the formulary list and verify if a generic version is preferred to reduce costs.

    •  

  • Copayments, coinsurance, and deductibles apply as per the specific plan details, so checking with BCBS Arizona for exact amounts is advisable.

    •  

  • Regular follow-ups with the healthcare provider to monitor effectiveness and adjust treatment, if needed, are essential for ongoing approval.

 

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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 Benzphetamine (Didrex) Coverage with Blue Cross Blue Shield of Arizona

 

Research Benzphetamine (Didrex) Coverage

 

  • Visit the Blue Cross Blue Shield of Arizona (BCBSAZ) website to review their formulary or prescription drug list. This will help you determine if Benzphetamine (Didrex) is covered under your current plan.

    •  

  • Review your specific insurance plan details to understand the types of medications and medical services covered. You can find this information in your plan’s policy documents or member portal.

    •  

  • If Benzphetamine (Didrex) is not listed on the formulary, check if it requires prior authorization or is subject to step therapy protocols.

 

Contact Customer Service

 

  • Call the customer service number found on your insurance card to speak with a representative. They can provide detailed information about Benzphetamine (Didrex) coverage and any requirements needed for approval.

    •  

  • Ask the representative if Benzphetamine (Didrex) is covered under your plan, what your copayment or coinsurance would be, and if there are any coverage restrictions.

 

Consult Your Healthcare Provider

 

  • Schedule an appointment with your healthcare provider to discuss your prescription needs and whether Benzphetamine (Didrex) is the right medication for you.

    •  

  • Inform your healthcare provider if your insurance requires prior authorization. They can assist by providing necessary medical documentation to Blue Cross Blue Shield of Arizona.

 

Request Prior Authorization

 

  • If required, your healthcare provider will need to submit a prior authorization request to Blue Cross Blue Shield of Arizona. This request usually includes the rationale for prescribing Benzphetamine (Didrex) and any relevant medical history.

    •  

  • Ensure all required forms and additional information are accurately completed by your provider to avoid delays in processing the request.

 

Await Determination

 

  • Blue Cross Blue Shield of Arizona will review the prior authorization request and provide a decision within a specified timeframe. Keep in contact with your healthcare provider to stay updated on the status of the request.

    •  

  • If approved, you'll receive confirmation and information on how to proceed with obtaining your medication. If denied, you can appeal the decision by following the instructions provided in the denial letter.

 

Explore Alternative Options

 

  • If Benzphetamine (Didrex) is not covered or denied after appeal, discuss alternative medications with your healthcare provider that might be covered under your plan.

    •  

  • Consider discussing whether generic alternatives or therapeutic equivalents could be viable options to minimize out-of-pocket costs.

 

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

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FAQs

Does Blue Cross Blue Shield of Arizona Cover Benzphetamine (Didrex)

Explore coverage for Benzphetamine by Blue Cross Blue Shield of Arizona, costs without insurance, and tips to secure approval. Get informed with our FAQ section.
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Is Benzphetamine (Didrex) Covered by Blue Cross Blue Shield of Arizona

 

Coverage for Benzphetamine (Didrex)

 

  • Blue Cross Blue Shield of Arizona typically covers prescription medications that are medically necessary, including Benzphetamine (Didrex), used as part of a short-term regimen for weight loss.

    •  

  • Coverage may require prior authorization, demonstrating that alternative weight loss methods have been ineffective.

    •  

  • Patients often need documentation of a Body Mass Index (BMI) above a specific threshold, usually around 30, to qualify for coverage.

    •  

  • The prescription must be written by a licensed healthcare provider who considers the medication necessary.

 

Basic Rules and Criteria

 

  • Ensure that Benzphetamine is on the formulary list and verify if a generic version is preferred to reduce costs.

    •  

  • Copayments, coinsurance, and deductibles apply as per the specific plan details, so checking with BCBS Arizona for exact amounts is advisable.

    •  

  • Regular follow-ups with the healthcare provider to monitor effectiveness and adjust treatment, if needed, are essential for ongoing approval.

 

A weight management program tailored to you

Start with Curex

Blue Cross Blue Shield of Arizona's Approved Criteria for Benzphetamine (Didrex) Coverage

 

Eligibility Requirements for Benzphetamine (Didrex) Coverage

 

  • The patient must have a documented diagnosis of exogenous obesity or a related condition, requiring intervention for weight loss.

    •  

  • A healthcare provider must have considered and, if appropriate, trialed alternative weight management medications before prescribing Benzphetamine (Didrex).

    •  

  • The patient must be at least 12 years of age, and the prescription should conform to recommended pediatric use instructions when applicable.

 

Documentation and Physician Certification

 

  • A comprehensive treatment plan must be documented by the prescribing healthcare provider, including diet and exercise regime enhancements.

    •  

  • The physician must provide certification that Benzphetamine (Didrex) is being prescribed as an adjunct to lifestyle modifications for weight management.

    •  

  • A review of the patient’s medical history indicating no contraindications or potential adverse reactions to Benzphetamine must be submitted.

 

Continued Coverage Criteria

 

  • The patient must demonstrate adherence to the prescribed treatment plan, including documented follow-up consultations with healthcare providers.

    •  

  • Objective evidence of weight loss or improvement in related health metrics must be supplied periodically, as determined by the healthcare provider.

    •  

  • Coverage may continue only if no severe side effects have been reported and the treatment shows efficacy as determined by the attending physician.

 

Prior Authorization Process

 

  • The prescribing doctor must submit a request for prior authorization, including all necessary documentation pertaining to the patient's health status and treatment plan.

    •  

  • All required forms must be completed, including any supporting evidence of previous weight management attempts and medical necessity justification.

    •  

  • Approvals are subjected to review processes and criteria set forth by Blue Cross Blue Shield of Arizona, with guidelines on duration and dosage limits.

 

Why Blue Cross Blue Shield of Arizona Might Deny Benzphetamine (Didrex) Coverage

 

Criteria for Denial of Benzphetamine (Didrex) Coverage

 

  • Non-compliance with Prior Authorization: Blue Cross Blue Shield of Arizona may deny coverage if the prescribed use of Benzphetamine does not receive prior authorization from the insurance provider. Failure to comply with the insurer's medical necessity criteria may also result in denial.

    •  

  • Off-Label Usage: If Benzphetamine is prescribed for conditions not approved by the FDA or not included in the insurer's approved drug list, coverage may be denied. Usage must align with the standard approved indications for the medication.

    •  

  • Absence of Required Documentation: Lack of necessary documentation from the prescribing physician to justify the medical need for Benzphetamine can lead to denial. Detailed patient medical history and reason for prescribing are critical.

    •  

  • Alternative Approved Treatments: Coverage may be denied if there are other therapies that are equally effective and more cost-effective in comparison to Benzphetamine. The insurer may require the patient to try alternative treatments first.

    •  

  • Exceeding Quantity Limits: Blue Cross Blue Shield of Arizona may establish quantity limits for Benzphetamine prescriptions, and exceeding these limits without proper justification can result in denial of coverage.

    •  

  • Lack of Medical Supervision: This medication requires careful medical supervision due to potential side effects and health risks. Lack of evidence indicating regular monitoring by a healthcare professional may result in denial.

    •  

  • Patient Criteria Not Met: Coverage can be denied if criteria specific to patient demographics, such as age, weight, or health status, are not met according to the insurer's guidelines.

 

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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.
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 Benzphetamine (Didrex) Coverage with Blue Cross Blue Shield of Arizona

 

Research Benzphetamine (Didrex) Coverage

 

  • Visit the Blue Cross Blue Shield of Arizona (BCBSAZ) website to review their formulary or prescription drug list. This will help you determine if Benzphetamine (Didrex) is covered under your current plan.

    •  

  • Review your specific insurance plan details to understand the types of medications and medical services covered. You can find this information in your plan’s policy documents or member portal.

    •  

  • If Benzphetamine (Didrex) is not listed on the formulary, check if it requires prior authorization or is subject to step therapy protocols.

 

Contact Customer Service

 

  • Call the customer service number found on your insurance card to speak with a representative. They can provide detailed information about Benzphetamine (Didrex) coverage and any requirements needed for approval.

    •  

  • Ask the representative if Benzphetamine (Didrex) is covered under your plan, what your copayment or coinsurance would be, and if there are any coverage restrictions.

 

Consult Your Healthcare Provider

 

  • Schedule an appointment with your healthcare provider to discuss your prescription needs and whether Benzphetamine (Didrex) is the right medication for you.

    •  

  • Inform your healthcare provider if your insurance requires prior authorization. They can assist by providing necessary medical documentation to Blue Cross Blue Shield of Arizona.

 

Request Prior Authorization

 

  • If required, your healthcare provider will need to submit a prior authorization request to Blue Cross Blue Shield of Arizona. This request usually includes the rationale for prescribing Benzphetamine (Didrex) and any relevant medical history.

    •  

  • Ensure all required forms and additional information are accurately completed by your provider to avoid delays in processing the request.

 

Await Determination

 

  • Blue Cross Blue Shield of Arizona will review the prior authorization request and provide a decision within a specified timeframe. Keep in contact with your healthcare provider to stay updated on the status of the request.

    •  

  • If approved, you'll receive confirmation and information on how to proceed with obtaining your medication. If denied, you can appeal the decision by following the instructions provided in the denial letter.

 

Explore Alternative Options

 

  • If Benzphetamine (Didrex) is not covered or denied after appeal, discuss alternative medications with your healthcare provider that might be covered under your plan.

    •  

  • Consider discussing whether generic alternatives or therapeutic equivalents could be viable options to minimize out-of-pocket costs.

 

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.

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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.

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.

Have questions left?

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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.

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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.

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