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

Explore Benzphetamine (Didrex) coverage by Blue Cross Blue Shield of Michigan, costs without insurance, and tips on securing coverage. Read the FAQ too!
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Coverage for Benzphetamine (Didrex)

 

  • Benzphetamine (Didrex) coverage by Blue Cross Blue Shield of Michigan depends on your specific health plan and coverage tier.
  •  

  • The medication is typically covered when prescribed for the treatment of exogenous obesity and when other weight loss programs have been ineffective.
  •  

  • Prior authorization might be required, meaning your physician must justify the necessity of the drug for your treatment plan.
  •  

  • Coverage criteria often include a documented body mass index (BMI) indicating obesity, along with participation in a supervised weight loss program.

 

Steps for Getting Benzphetamine Covered

 

  • Consult with your healthcare provider to determine if Benzphetamine is appropriate for your condition.
  •  

  • Ensure that your provider includes all necessary documentation and justification when submitting the prescription for prior authorization.
  •  

  • Contact Blue Cross Blue Shield of Michigan for details specific to your plan and to confirm any additional requirements or paperwork.
  •  

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

 

Consult Your Physician

 

  • Begin by discussing with your healthcare provider about the necessity and suitability of Benzphetamine (Didrex) for your treatment plan.
  •  

  • Ensure you obtain a valid prescription, as this will be necessary for any insurance coverage considerations.

 

Verify Coverage

 

  • Log in to your Blue Cross Blue Shield of Michigan (BCBSM) member account via their website to check your policy details regarding prescription drug coverage.
  •  

  • Search the BCBSM drug formulary to determine if Benzphetamine (Didrex) is listed as a covered drug. You can also contact BCBSM customer service for assistance.

 

Prescriber Contact

 

  • Have your healthcare provider submit a formal request or prior authorization to BCBSM on your behalf, if necessary. This may involve providing medical justification as to why Benzphetamine is the appropriate medication for your condition.
  •  

  • Ensure that all necessary documentation, including your medical history and treatment plan, is ready to support your request for coverage.

 

Submit Prior Authorization

 

  • Work with your healthcare provider to complete any necessary prior authorization forms, which are often available on the BCBSM website or through their customer service.
  •  

  • Your healthcare provider may need to directly submit these forms to BCBSM on your behalf.

 

Follow Up

 

  • Check the status of your request periodically through your BCBSM account or by contacting customer service.
  •  

  • If your request is denied, consult with your healthcare provider to consider an appeal process or discuss alternative medications that might be covered.

 

Pharmacy Coordination

 

  • Once approved, coordinate with your pharmacy to fill your Benzphetamine (Didrex) prescription, ensuring that BCBSM's approval is on file to cover the cost.
  •  

  • Ensure that your pharmacy is within the BCBSM network, as using an out-of-network pharmacy might result in higher costs or lack of coverage.

 

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 Michigan Cover Benzphetamine (Didrex)

Explore Benzphetamine (Didrex) coverage by Blue Cross Blue Shield of Michigan, costs without insurance, and tips on securing coverage. Read the FAQ too!
Curex allergy drops unboxing

Is Benzphetamine (Didrex) Covered by Blue Cross Blue Shield of Michigan

 

Coverage for Benzphetamine (Didrex)

 

  • Benzphetamine (Didrex) coverage by Blue Cross Blue Shield of Michigan depends on your specific health plan and coverage tier.
  •  

  • The medication is typically covered when prescribed for the treatment of exogenous obesity and when other weight loss programs have been ineffective.
  •  

  • Prior authorization might be required, meaning your physician must justify the necessity of the drug for your treatment plan.
  •  

  • Coverage criteria often include a documented body mass index (BMI) indicating obesity, along with participation in a supervised weight loss program.

 

Steps for Getting Benzphetamine Covered

 

  • Consult with your healthcare provider to determine if Benzphetamine is appropriate for your condition.
  •  

  • Ensure that your provider includes all necessary documentation and justification when submitting the prescription for prior authorization.
  •  

  • Contact Blue Cross Blue Shield of Michigan for details specific to your plan and to confirm any additional requirements or paperwork.
  •  

A weight management program tailored to you

Start with Curex

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

 

Criteria for Benzphetamine (Didrex) Coverage by Blue Cross Blue Shield of Michigan

 

  • The patient must be diagnosed with exogenous obesity and have a BMI of 30 kg/m2 or higher, or a BMI of 27 kg/m2 or higher with associated comorbid conditions such as hypertension, diabetes, or dyslipidemia.
  •  

  • A physician must document that the patient has attempted to lose weight through diet and exercise but has been unsuccessful.
  •  

  • The prescription must be written by a healthcare provider who is familiar with the management of obesity.
  •  

  • There should be documentation supporting the medication's intended short-term use, typically for a few weeks, as a part of a comprehensive weight management program involving diet, exercise, and behavioral changes.
  •  

  • The patient must not have a history of drug abuse or dependency, and the provider must assess that the benefits of using Benzphetamine to manage the patient's weight outweigh the risks.
  •  

  • Regular follow-up appointments should be documented to monitor efficacy and any adverse effects, ensuring the treatment plan is reviewed and adjusted as necessary.
  •  

  • Coverage is contingent upon the patient continuing to adhere to prescribed dietary, exercise, and behavioral modifications.
  •  

  • The prescriber must provide a rationale for the continued use of Benzphetamine beyond the initial period if required, with adequate documentation of weight loss benefit and lack of significant adverse effects.

 

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

 

Reasons for Denial of Benzphetamine (Didrex) Coverage

 

  • **Lack of Medical Necessity**: Blue Cross Blue Shield of Michigan may deny coverage if Benzphetamine is not deemed medically necessary based on their clinical guidelines.
  •  

  • **Non-Formulary Medication**: If Benzphetamine is not included in the BCBS of Michigan's formulary or preferred drug list, coverage might be denied.
  •  

  • **Prior Authorization Not Obtained**: Failure to obtain approval prior to filling a prescription may result in denial of coverage.
  •  

  • **Off-Label Use**: Use of Benzphetamine for conditions not approved by the FDA or those not recognized by BCBS of Michigan may lead to denial.
  •  

  • **Generic Alternatives Requirement**: If a generic equivalent is available, BCBS of Michigan may require the use of the generic over the brand name, denying coverage for Benzphetamine as a result.
  •  

  • **Policy Exclusions**: Certain policy plans may specifically exclude weight loss medications, such as Benzphetamine, from coverage.

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

How Much Does Benzphetamine (Didrex) Cost without Insurance?

 

Understanding Benzphetamine (Didrex) Cost

 

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

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

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

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

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

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Benzphetamine (Didrex) Coverage with Blue Cross Blue Shield of Michigan

 

Consult Your Physician

 

  • Begin by discussing with your healthcare provider about the necessity and suitability of Benzphetamine (Didrex) for your treatment plan.
  •  

  • Ensure you obtain a valid prescription, as this will be necessary for any insurance coverage considerations.

 

Verify Coverage

 

  • Log in to your Blue Cross Blue Shield of Michigan (BCBSM) member account via their website to check your policy details regarding prescription drug coverage.
  •  

  • Search the BCBSM drug formulary to determine if Benzphetamine (Didrex) is listed as a covered drug. You can also contact BCBSM customer service for assistance.

 

Prescriber Contact

 

  • Have your healthcare provider submit a formal request or prior authorization to BCBSM on your behalf, if necessary. This may involve providing medical justification as to why Benzphetamine is the appropriate medication for your condition.
  •  

  • Ensure that all necessary documentation, including your medical history and treatment plan, is ready to support your request for coverage.

 

Submit Prior Authorization

 

  • Work with your healthcare provider to complete any necessary prior authorization forms, which are often available on the BCBSM website or through their customer service.
  •  

  • Your healthcare provider may need to directly submit these forms to BCBSM on your behalf.

 

Follow Up

 

  • Check the status of your request periodically through your BCBSM account or by contacting customer service.
  •  

  • If your request is denied, consult with your healthcare provider to consider an appeal process or discuss alternative medications that might be covered.

 

Pharmacy Coordination

 

  • Once approved, coordinate with your pharmacy to fill your Benzphetamine (Didrex) prescription, ensuring that BCBSM's approval is on file to cover the cost.
  •  

  • Ensure that your pharmacy is within the BCBSM network, as using an out-of-network pharmacy might result in higher costs or lack of coverage.

 

Premium Medication you can trust

Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

Benzphetamine (Didrex) FAQ

What are the side effects of Benzphetamine (Didrex)?

 

Common Side Effects

 

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

 

Severe Side Effects

 

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

 

Important Considerations

 

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

 

How does Benzphetamine help with weight loss?

 

Mechanism of Action

 

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

 

Usage Guidelines

 

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

 

Precautions

 

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

Is Benzphetamine similar to Phentermine?

 

Similarity between Benzphetamine and Phentermine

 

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

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

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

 

Differences

 

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

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

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

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