Does Blue Cross Blue Shield of Arizona Cover Eliquis

Discover if Blue Cross Blue Shield of Arizona covers Eliquis, reasons for denial, coverage tips, and costs without insurance. Get answers to common FAQ.
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Coverage for Eliquis

 

  • Blue Cross Blue Shield of Arizona (BCBSAZ) typically provides coverage for Eliquis under their formulary, but conditions apply.
  •  

  • Eliquis is often covered for medically necessary conditions such as atrial fibrillation or deep vein thrombosis.

 

Eligibility and Criteria

 

  • Coverage usually requires a prescription from a healthcare provider.
  •  

  • Prior authorization may be necessary, indicating medical necessity and confirming diagnosis.
  •  

  • Some plans may require that patients first try other anticoagulants before Eliquis (step therapy).

 

Plan-Specific Details

 

  • Always verify coverage specifics with BCBSAZ as plans vary based on policy details.
  •  

  • Review the plan's formulary or contact BCBSAZ customer service for the most accurate and recent information.

 

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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.

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 Eliquis Coverage with Blue Cross Blue Shield of Arizona

 

Review Your Current Insurance Plan

 

  • Check your Blue Cross Blue Shield of Arizona policy documents to review your prescription drug coverage.
  • Identify the specific tier and formulary where Eliquis is listed in your plan.

 

Consult with Your Healthcare Provider

 

  • Discuss with your doctor why Eliquis is necessary for your treatment and if there are any alternatives covered by your plan.
  • Request a prescription for Eliquis if your doctor agrees it's the best option for you.

 

Contact Customer Service

 

  • Reach out to a customer service representative at Blue Cross Blue Shield of Arizona to inquire about coverage specifics for Eliquis.
  • Ask if Eliquis requires prior authorization or if there are any special criteria you need to meet.

 

Request Prior Authorization

 

  • If required, work with your healthcare provider to submit a prior authorization request to your insurance provider for Eliquis coverage.
  • Provide necessary medical documentation supporting the need for Eliquis to expedite the process.

 

Review Alternative Savings Options

 

  • Explore savings programs or patient assistance programs offered by the manufacturer of Eliquis if coverage is denied or the copay is high.
  • Check if Blue Cross Blue Shield of Arizona has any preferred pharmacies where you might receive the medication at a reduced cost.

 

Submit a Claim for Reimbursement

 

  • If you initially paid out-of-pocket for Eliquis, file a claim for reimbursement with Blue Cross Blue Shield of Arizona, along with all receipts and required documentation.
  • Follow up periodically to check the status of your claim.

 

Review Your Plan Options

 

  • Consider reviewing and possibly updating your insurance plan during open enrollment if Eliquis is not covered or if you encounter high out-of-pocket expenses often.
  • Consult with an insurance advisor to explore plans that might offer better coverage for your prescription needs.

 

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FAQs

Does Blue Cross Blue Shield of Arizona Cover Eliquis

Discover if Blue Cross Blue Shield of Arizona covers Eliquis, reasons for denial, coverage tips, and costs without insurance. Get answers to common FAQ.
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Is Eliquis Covered by Blue Cross Blue Shield of Arizona

 

Coverage for Eliquis

 

  • Blue Cross Blue Shield of Arizona (BCBSAZ) typically provides coverage for Eliquis under their formulary, but conditions apply.
  •  

  • Eliquis is often covered for medically necessary conditions such as atrial fibrillation or deep vein thrombosis.

 

Eligibility and Criteria

 

  • Coverage usually requires a prescription from a healthcare provider.
  •  

  • Prior authorization may be necessary, indicating medical necessity and confirming diagnosis.
  •  

  • Some plans may require that patients first try other anticoagulants before Eliquis (step therapy).

 

Plan-Specific Details

 

  • Always verify coverage specifics with BCBSAZ as plans vary based on policy details.
  •  

  • Review the plan's formulary or contact BCBSAZ customer service for the most accurate and recent information.

 

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Blue Cross Blue Shield of Arizona's Approved Criteria for Eliquis Coverage

 

Criteria for Eliquis Coverage

 

  • Patient must have a diagnosis of non-valvular atrial fibrillation and is at risk for stroke or systemic embolism.
  •  

  • Candidates include individuals undergoing treatment for deep vein thrombosis (DVT) or pulmonary embolism (PE) to reduce the risk of recurrent episodes.
  •  

  • Candidates who require prophylaxis of DVT, which may lead to PE, following knee or hip replacement surgery are eligible.
  •  

  • Applicants should have documented contraindications or intolerance to warfarin or other vitamin K antagonist therapies.
  •  

  • Patients must be within the FDA-approved age range for the use of Eliquis and meet weight requirements as stipulated in official guidelines.
  •  

  • Use of Eliquis must align with its FDA-approved indications and dosing regimen. The pharmacy records must verify correct dosing.
  •  

  • Proof of regular renal function evaluation, as Eliquis dosing may need adjustment based on kidney performance, should be documented in the patient's medical records.
  •  

  • Patients must not be using Eliquis in tandem with other anticoagulant drugs but should demonstrate a need for transition from or to Eliquis.
  •  

 

Why Blue Cross Blue Shield of Arizona Might Deny Eliquis Coverage

 

Denial of Eliquis Coverage by Blue Cross Blue Shield of Arizona

 

  • **Non-Formulary Drug:** Eliquis may be denied if it is not included in the insurance plan’s formulary list.
  •  

  • **Lack of Prior Authorization:** If proper prior authorization has not been obtained before prescribing Eliquis, coverage might be denied.
  •  

  • **Off-Label Usage:** Coverage can be refused if Eliquis is prescribed for uses that are not FDA-approved or not covered under the policy’s stipulated conditions.
  •  

  • **Step Therapy Requirements:** If the plan requires the patient to try and fail other alternative treatments before Eliquis, and these steps have not been followed, coverage may be denied.
  •  

  • **Exceeding Quantity Limits:** Limits may apply to the amount of Eliquis dispensed. If a prescription exceeds these set limits, it may be denied.
  •  

  • **Non-Compliance with Policy Terms:** If prescriptions do not comply with specific policy terms, such as attending required specialist consultations, coverage can be denied.

 

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How Much Does Eliquis Cost without Insurance?

 

Approximate Cost of Eliquis without Insurance

 

  • The cost of Eliquis, a commonly prescribed blood thinner, can vary based on the pharmacy, location, and any available discounts or coupons. On average, without insurance, Eliquis can cost around $550 to $650 for a 30-day supply.
  •  

  • Some pharmacies or online platforms may offer discounts or generic options that can lower the cost, so it's advisable to shop around. Patients should also inquire about manufacturer coupons or assistance programs that might help reduce the price.
  •  

  • Price comparison tools and websites can be helpful in finding the best available prices for Eliquis in your area.

 

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 Eliquis Coverage with Blue Cross Blue Shield of Arizona

 

Review Your Current Insurance Plan

 

  • Check your Blue Cross Blue Shield of Arizona policy documents to review your prescription drug coverage.
  • Identify the specific tier and formulary where Eliquis is listed in your plan.

 

Consult with Your Healthcare Provider

 

  • Discuss with your doctor why Eliquis is necessary for your treatment and if there are any alternatives covered by your plan.
  • Request a prescription for Eliquis if your doctor agrees it's the best option for you.

 

Contact Customer Service

 

  • Reach out to a customer service representative at Blue Cross Blue Shield of Arizona to inquire about coverage specifics for Eliquis.
  • Ask if Eliquis requires prior authorization or if there are any special criteria you need to meet.

 

Request Prior Authorization

 

  • If required, work with your healthcare provider to submit a prior authorization request to your insurance provider for Eliquis coverage.
  • Provide necessary medical documentation supporting the need for Eliquis to expedite the process.

 

Review Alternative Savings Options

 

  • Explore savings programs or patient assistance programs offered by the manufacturer of Eliquis if coverage is denied or the copay is high.
  • Check if Blue Cross Blue Shield of Arizona has any preferred pharmacies where you might receive the medication at a reduced cost.

 

Submit a Claim for Reimbursement

 

  • If you initially paid out-of-pocket for Eliquis, file a claim for reimbursement with Blue Cross Blue Shield of Arizona, along with all receipts and required documentation.
  • Follow up periodically to check the status of your claim.

 

Review Your Plan Options

 

  • Consider reviewing and possibly updating your insurance plan during open enrollment if Eliquis is not covered or if you encounter high out-of-pocket expenses often.
  • Consult with an insurance advisor to explore plans that might offer better coverage for your prescription needs.

 

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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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Eliquis FAQ

What are the side effects of Eliquis?

 

Common Side Effects of Eliquis

 

  • Mild bleeding or bruising due to its anticoagulant effect.
  • Nausea, which may occur as your body adjusts to the medication.
  • Skin rash or minor allergic reactions.
  • Fatigue or general weakness.

 

Serious Side Effects

 

  • Severe bleeding, including unusual bleeding from gums, nosebleeds, or heavier than usual menstrual bleeding.
  • Red, pink, or brown urine and black or bloody stools indicating internal bleeding.
  • Severe headache, dizziness, or fainting, which could indicate a bleed in the brain.
  • Signs of anemia, such as pale skin, weakness, or fatigue.

 

Consult Your Doctor

 

  • Always report any unusual symptoms to your healthcare provider promptly.
  • Seek emergency medical attention for significant bleeding or symptoms of a serious allergic reaction like difficulty breathing.

 

Is Eliquis a blood thinner?

 

Is Eliquis a Blood Thinner?

 

  • Yes, Eliquis (apixaban) is a blood thinner, also known as an anticoagulant.
  •  

  • It prevents blood clots by inhibiting Factor Xa, which is crucial in the clotting process.
  •  

  • Doctors prescribe Eliquis to reduce stroke risk in patients with atrial fibrillation and to treat or prevent deep vein thrombosis (DVT) and pulmonary embolism (PE).
  •  

  • Ensure regular monitoring and follow-ups with your healthcare provider while on Eliquis for safe management.
  •  

  • Contact a healthcare professional if you have concerns about bleeding risks or interactions with other medications.

 

Can you take Eliquis with alcohol?

 

Alcohol and Eliquis Interaction

 

  • Moderate alcohol consumption might be safe, but heavy drinking can increase bleeding risk.
  •  

  • Consult your healthcare provider to assess your specific condition and alcohol tolerance.

 

Potential Effects of Combining

 

  • Both Eliquis and alcohol affect blood clotting, raising potential for heightened bleeding.
  •  

  • Alcohol can augment Eliquis' effects, complicating the management of conditions like atrial fibrillation.

 

Recommendations for Use

 

  • If you drink, limit to one or two standard drinks occasionally and monitor for bruising or bleeding.
  •  

  • Report any unusual symptoms to your healthcare provider immediately.

 

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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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