Does Blue Cross Blue Shield of Arizona Cover Symbicort

Explore Symbicort coverage with Blue Cross Blue Shield of Arizona. Learn about possible denials, coverage options, costs without insurance, and FAQs.
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Does Blue Cross Blue Shield of Arizona Cover Symbicort?

 

  • Coverage for Symbicort by Blue Cross Blue Shield of Arizona can depend on your specific health plan and its formulary tier status. Often, Symbicort is considered a preferred brand-name inhaler and is covered under most plans.
  •  

  • Situations often covered include chronic asthma, COPD, and other respiratory conditions requiring an inhaler.
  •  

  • Criteria for coverage may include prior authorization, which means your healthcare provider may need to confirm Symbicort's medical necessity.
  •  

  • Some plans might require first trying a generic or lower-cost alternative before covering Symbicort, following a step therapy protocol.
  •  

  • Coverage extent, copays, and deductibles vary, so reviewing your health plan specifics or contacting a BCBS representative is crucial for detailed information.

 

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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 Symbicort Coverage with Blue Cross Blue Shield of Arizona

 

Check Your Plan's Formulary

 

  • Visit the official Blue Cross Blue Shield of Arizona (BCBSAZ) website.
  •  

  • Navigate to the section dedicated to pharmacy or prescription coverage.
  •  

  • Download or view your specific plan's formulary to confirm if Symbicort is covered and the tier it falls under.

 

Contact Customer Service

 

  • Call the customer service number found on your insurance card for personalized assistance.
  •  

  • Inquire about coverage details for Symbicort, including any necessary prior authorization or quantity limits.
  •  

  • Write down the reference number for your inquiry in case you need to follow up later.

 

Consult with Your Doctor

 

  • Discuss your need for Symbicort with your healthcare provider.
  •  

  • Request your healthcare provider to provide any required documentation if your plan needs prior authorization.
  •  

  • Ensure your healthcare provider is aware of any quantity limits or requirements from BCBSAZ.

 

Secure Prior Authorization

 

  • If prior authorization is required, work with your healthcare provider to submit the necessary forms and documentation.
  •  

  • Track the status of your prior authorization request through your healthcare provider or by contacting BCBSAZ.
  •  

  • Once approved, keep a record of the authorization approval for your files.

 

Utilize Preferred Pharmacies

 

  • Locate pharmacies within your plan's network that fill prescriptions for Symbicort.
  •  

  • Check if there are cost benefits for using preferred pharmacies under your insurance plan.
  •  

  • Transfer your prescription to a preferred pharmacy, if applicable, to enjoy possible savings.

 

Explore Additional Savings

 

  • Investigate any available savings programs or manufacturer coupons for Symbicort that can be used alongside your insurance coverage.
  •  

  • Consult with your pharmacist about any additional ways to reduce out-of-pocket expenses.
  •  

  • Consider using a mail-order pharmacy if your plan offers reduced co-pays for utilizing this service.

 

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FAQs

Does Blue Cross Blue Shield of Arizona Cover Symbicort

Explore Symbicort coverage with Blue Cross Blue Shield of Arizona. Learn about possible denials, coverage options, costs without insurance, and FAQs.
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Is Symbicort Covered by Blue Cross Blue Shield of Arizona

 

Does Blue Cross Blue Shield of Arizona Cover Symbicort?

 

  • Coverage for Symbicort by Blue Cross Blue Shield of Arizona can depend on your specific health plan and its formulary tier status. Often, Symbicort is considered a preferred brand-name inhaler and is covered under most plans.
  •  

  • Situations often covered include chronic asthma, COPD, and other respiratory conditions requiring an inhaler.
  •  

  • Criteria for coverage may include prior authorization, which means your healthcare provider may need to confirm Symbicort's medical necessity.
  •  

  • Some plans might require first trying a generic or lower-cost alternative before covering Symbicort, following a step therapy protocol.
  •  

  • Coverage extent, copays, and deductibles vary, so reviewing your health plan specifics or contacting a BCBS representative is crucial for detailed information.

 

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

 

Eligibility Criteria for Symbicort Coverage

 

  • Members must have an established diagnosis of asthma or chronic obstructive pulmonary disease (COPD) as documented in their medical records.
  •  

  • A history of trial and failure, intolerance, or contraindication to alternative asthma or COPD therapies such as inhaled corticosteroids or long-acting beta-agonists (LABA) must be documented.
  •  

  • Members should have a documented history of using Symbicort as a part of their treatment plan which indicates improvement or stabilization of their condition.
  •  

 

Dosage and Administration Requirements

 

  • Documentation must adhere to FDA-approved labeling for Symbicort in terms of dosage and frequency.
  •  

  • Healthcare providers should confirm that prescriptions align with the current evidence-based medical guidelines specific to asthma or COPD treatment.
  •  

  • Symbicort must be prescribed by a healthcare professional specialized in treating respiratory conditions.
  •  

 

Step Therapy Protocol

 

  • Members may need to demonstrate trial and failure, contraindication, or adverse effects from two previous documented medications from different classes before Symbicort is approved.
  •  

  • Consideration of whether the member has already tried and failed other inhaled combination therapy (e.g., a separate inhaled corticosteroid and LABA).
  •  

 

Reauthorization Criteria

 

  • Documentation showing clinical benefit, such as reduced frequency of asthma attacks or improved lung function tests, must be presented for reauthorization.
  •  

  • Continued coverage is contingent upon regular visits with healthcare providers to review asthma or COPD management strategies and adherence to treatment plans.
  •  

 

Why Blue Cross Blue Shield of Arizona Might Deny Symbicort Coverage

 

Reasons for Denial of Symbicort Coverage

 

  • The prescribed use of Symbicort is not aligned with the FDA-approved indications or guidelines established by Blue Cross Blue Shield of Arizona.
  •  

  • Failure to meet the step therapy requirements, which may include trying and failing on a preferred alternative medication before Symbicort can be approved.
  •  

  • Lack of prior authorization, which may be needed before approval for Symbicort coverage can be granted.
  •  

  • The member's policy does not include coverage for brand-name drugs when generic alternatives are available and deemed appropriate.
  •  

  • Quantitative limits are exceeded without proper justification or documentation provided that supports the medical necessity of the prescribed amount.
  •  

  • Using a non-preferred pharmacy or provider network unless specific exceptions apply or are approved in special cases.
  •  

  • Issues with maintaining consistent membership or non-payment of premiums which could affect the continuation of prescription benefits.

 

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

How Much Does Symbicort Cost without Insurance?

 

Cost of Symbicort without Insurance

 

  • Symbicort is a prescription medication commonly used to treat asthma and chronic obstructive pulmonary disease (COPD). Without insurance, its cost can be quite high, varying largely due to factors such as dosage, pharmacy, and location. On average, the out-of-pocket cost for a 30-day supply of Symbicort (160/4.5 mcg) inhaler is around $250 to $350.
  •  

  • Prices can vary significantly from one pharmacy to another. Some big-box or discount pharmacies might offer slightly lower prices, while smaller local pharmacies may have higher rates without insurance discounts.
  •  

  • Patients can also explore manufacturer coupons or patient assistance programs, which might help reduce the overall cost. Additionally, online resources and discount cards may offer ways to slightly lower the cash price at participating pharmacies.
  •  

  • It's advisable for patients to check various pharmacies to ensure they are getting the best possible price. Comparing online pharmacy prices and visiting discount retailers could help mitigate high costs when paying out-of-pocket.

 

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 Symbicort Coverage with Blue Cross Blue Shield of Arizona

 

Check Your Plan's Formulary

 

  • Visit the official Blue Cross Blue Shield of Arizona (BCBSAZ) website.
  •  

  • Navigate to the section dedicated to pharmacy or prescription coverage.
  •  

  • Download or view your specific plan's formulary to confirm if Symbicort is covered and the tier it falls under.

 

Contact Customer Service

 

  • Call the customer service number found on your insurance card for personalized assistance.
  •  

  • Inquire about coverage details for Symbicort, including any necessary prior authorization or quantity limits.
  •  

  • Write down the reference number for your inquiry in case you need to follow up later.

 

Consult with Your Doctor

 

  • Discuss your need for Symbicort with your healthcare provider.
  •  

  • Request your healthcare provider to provide any required documentation if your plan needs prior authorization.
  •  

  • Ensure your healthcare provider is aware of any quantity limits or requirements from BCBSAZ.

 

Secure Prior Authorization

 

  • If prior authorization is required, work with your healthcare provider to submit the necessary forms and documentation.
  •  

  • Track the status of your prior authorization request through your healthcare provider or by contacting BCBSAZ.
  •  

  • Once approved, keep a record of the authorization approval for your files.

 

Utilize Preferred Pharmacies

 

  • Locate pharmacies within your plan's network that fill prescriptions for Symbicort.
  •  

  • Check if there are cost benefits for using preferred pharmacies under your insurance plan.
  •  

  • Transfer your prescription to a preferred pharmacy, if applicable, to enjoy possible savings.

 

Explore Additional Savings

 

  • Investigate any available savings programs or manufacturer coupons for Symbicort that can be used alongside your insurance coverage.
  •  

  • Consult with your pharmacist about any additional ways to reduce out-of-pocket expenses.
  •  

  • Consider using a mail-order pharmacy if your plan offers reduced co-pays for utilizing this service.

 

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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.

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.

Symbicort FAQ

1. What are the side effects of Symbicort?

 

Common Side Effects of Symbicort

 

  • Headache: Frequently reported and usually mild.
  • Throat irritation: Can occur due to inhalation route.
  • Hoarseness: Temporary voice changes may be noticed.
  • Cough: Occasional, linked to inhaler use.

 

Less Common Side Effects

 

  • Nausea: A less frequent side effect.
  • Increased blood pressure: Monitor regularly.
  • Palpitations: Uncommon but notable.
  • Muscle cramps: May occur in some patients.

 

Rare but Serious Side Effects

 

  • Allergic reactions: Rash, itching, or difficulty breathing.
  • Worsening of asthma: Requires immediate attention.
  • Pneumonia: Particularly in COPD patients.
  • Cardiac arrhythmias: Monitor heart rhythm.

 

2. How does Symbicort work for asthma?

 

How Symbicort Works

 

  • Combination Therapy: Symbicort contains budesonide, a corticosteroid, and formoterol, a long-acting beta-agonist. Together, they manage asthma by reducing inflammation and opening airways.
  •  

  • Inflammation Control: Budesonide targets the inflammatory process in the lungs, decreasing swelling and irritation to prevent asthma symptoms.
  •  

  • Bronchodilation: Formoterol relaxes muscles around the airways, quickly improving breathing and reducing wheezing.
  •  

  • Maintenance and Relief: While primarily for maintenance, Symbicort provides relief from symptoms and reduces the frequency of asthma attacks.

 

3. Is Symbicort a steroid inhaler?

 

Is Symbicort a Steroid Inhaler?

 

  • Yes, Symbicort is a combination inhaler that contains a steroid. It combines budesonide, a corticosteroid, and formoterol, a long-acting beta agonist (LABA).
  •  

  • Corticosteroids like budesonide help to reduce inflammation in the airways, which is crucial for managing asthma and chronic obstructive pulmonary disease (COPD).
  •  

  • Formoterol helps in relaxing the muscles around the airways to make breathing easier.
  •  

  • Symbicort is prescribed for long-term management and not for immediate relief of acute symptoms.
  •  

  • Regular use is essential to decrease the chance of flare-ups and improve overall lung function.

 

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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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