Does Centene Corporation Cover Benzphetamine (Didrex)

Explore Centene's coverage for Benzphetamine (Didrex), reasons for denial, tips for approval, cost without insurance, and FAQs. Find the info you need!
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Centene Corporation Coverage for Benzphetamine (Didrex)

 

  • Centene Corporation typically covers Benzphetamine (Didrex) for patients needing medical management for obesity, provided certain criteria are met.
  •  

  • Eligibility often includes diagnosis of obesity with a Body Mass Index (BMI) over a specific threshold or the presence of obesity-related health conditions.
  •  

  • Prior authorization may be necessary, requiring healthcare providers to submit documentation justifying the need for Benzphetamine based on medical necessity.
  •  

  • The treatment plan must often show evidence of attempts at weight management through diet and exercise programs that were insufficient alone.
  •  

  • Prescription of Benzphetamine is usually part of a comprehensive weight-loss plan supervised by a healthcare professional.
  •  

  • Coverage policies may vary by state or specific plan, and it is advisable to check directly with Centene or review the patient’s benefits documentation for precise details.

 

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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.

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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 Centene Corporation

 

Get Started with Centene Corporation

 

  • Visit the Centene Corporation website to gather information about their insurance plans and offerings. Familiarize yourself with their prescription drug coverage policies, particularly for weight management medications.
  •  

  • Reach out to a Centene customer service representative through their contact page or hotline. Request details on available health plans and inquire specifically about coverage options for Benzphetamine (Didrex).

 

Select an Appropriate Health Plan

 

  • Request a list of available health plans from Centene that might provide coverage for Benzphetamine (Didrex). Review their formularies to confirm if Benzphetamine is included.
  •  

  • Consider getting advice from a healthcare provider or pharmacist to choose a plan that suits your medical needs and financial situation.

 

Enroll in a Centene Health Plan

 

  • Complete the application process for the Centene insurance plan that offers the desired coverage. Ensure that all required personal and medical information is accurately provided.
  •  

  • Submit any additional documentation that may be required to validate coverage for Benzphetamine (Didrex), such as a letter of medical necessity from your healthcare provider.

 

Verify Coverage Details

 

  • Once enrolled, read through your policy documents to verify Benzphetamine (Didrex) coverage specifics, including co-pays, deductibles, and any preauthorization requirements.
  •  

  • Contact Centene’s customer service if you need clarification on how to access your prescription benefits for Benzphetamine.

 

Obtain Authorization (if required)

 

  • If your plan requires prior authorization for Benzphetamine (Didrex), work with your healthcare provider to submit a request for approval. Provide all necessary supporting documents CENTENE may request.
  •  

  • Follow up with Centene and your healthcare provider to track the status of your prior authorization request.

 

Fill the Prescription

 

  • Once authorization is confirmed, visit an in-network pharmacy and present your Centene insurance information to fill your Benzphetamine (Didrex) prescription.
  •  

  • Consult with the pharmacist if you have questions about your medication or co-payment process under Centene’s coverage.

 

Continually Monitor Your Coverage

 

  • Regularly review your coverage plan for any changes in prescription drug benefits that may affect Benzphetamine (Didrex), especially during policy renewal periods.
  •  

  • Stay informed about Centene's policy updates to ensure uninterrupted coverage for your medications.

 

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FAQs

Does Centene Corporation Cover Benzphetamine (Didrex)

Explore Centene's coverage for Benzphetamine (Didrex), reasons for denial, tips for approval, cost without insurance, and FAQs. Find the info you need!
Curex allergy drops unboxing

Is Benzphetamine (Didrex) Covered by Centene Corporation

 

Centene Corporation Coverage for Benzphetamine (Didrex)

 

  • Centene Corporation typically covers Benzphetamine (Didrex) for patients needing medical management for obesity, provided certain criteria are met.
  •  

  • Eligibility often includes diagnosis of obesity with a Body Mass Index (BMI) over a specific threshold or the presence of obesity-related health conditions.
  •  

  • Prior authorization may be necessary, requiring healthcare providers to submit documentation justifying the need for Benzphetamine based on medical necessity.
  •  

  • The treatment plan must often show evidence of attempts at weight management through diet and exercise programs that were insufficient alone.
  •  

  • Prescription of Benzphetamine is usually part of a comprehensive weight-loss plan supervised by a healthcare professional.
  •  

  • Coverage policies may vary by state or specific plan, and it is advisable to check directly with Centene or review the patient’s benefits documentation for precise details.

 

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Centene Corporation's Approved Criteria for Benzphetamine (Didrex) Coverage

 

Criteria for Benzphetamine (Didrex) Coverage

 

  • **Diagnosis Requirement**: The patient must have a documented diagnosis of exogenous obesity or weight-related comorbidities within the approved indications.
  •  

  • **Body Mass Index (BMI) Criteria**: Coverage is applicable for individuals with a BMI of ≥30 kg/m² or ≥27 kg/m² in the presence of other risk factors such as hypertension, type 2 diabetes, or dyslipidemia.
  •  

  • **Trial of Non-Pharmacological Interventions**: Prior to coverage approval, the patient should have attempted weight loss through diet and exercise for at least six months with insufficient results. Documentation of the comprehensive lifestyle intervention is required.
  •  

  • **Documented Medical Supervision**: Ongoing treatment with benzphetamine should be part of a comprehensive weight management program supervised by a specialist in obesity management or a related field.
  •  

  • **No History of Drug Abuse**: The patient must have no recent history of drug abuse, and a thorough evaluation should indicate that benzphetamine is appropriate for long-term use.
  •  

  • **Age Criteria**: The patient must be at least 16 years of age to qualify for coverage, as supported by clinical guidelines and FDA indications.
  •  

  • **Evaluation for Concomitant Medications**: The healthcare provider must ensure compatibility of benzphetamine with the patient's current medication profile to avoid potential drug interactions.
  •  

  • **Monitoring and Compliance**: Regular follow-up visits must be scheduled to monitor progress and ensure adherence to treatment. This must be documented and submitted periodically for continued coverage.

 

Why Centene Corporation Might Deny Benzphetamine (Didrex) Coverage

 

Reasons for Denial of Benzphetamine (Didrex) Coverage

 

  • The medication is prescribed for unapproved or non-FDA-approved uses.
  •  

  • There is a lack of submitted documentation supporting medical necessity for Benzphetamine (Didrex).
  •  

  • Patient does not meet the specific eligibility criteria established by Centene for the prescription of appetite suppressants.
  •  

  • The prescription exceeds the maximum allowable dosage or quantity limits set by the corporation.
  •  

  • The medication is deemed experimental or investigational for the patient's condition.
  •  

  • Benzphetamine (Didrex) is being used as a first-line treatment without prior documentation of failure, intolerance, or contraindication to other more established treatments for weight management.
  •  

  • The patient's plan specifically excludes coverage for weight management medications, including Benzphetamine (Didrex).
  •  

  • The prescription has been filled at a non-participating pharmacy without prior authorization, if such a requirement is part of the plan's coverage terms.

 

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 Centene Corporation

 

Get Started with Centene Corporation

 

  • Visit the Centene Corporation website to gather information about their insurance plans and offerings. Familiarize yourself with their prescription drug coverage policies, particularly for weight management medications.
  •  

  • Reach out to a Centene customer service representative through their contact page or hotline. Request details on available health plans and inquire specifically about coverage options for Benzphetamine (Didrex).

 

Select an Appropriate Health Plan

 

  • Request a list of available health plans from Centene that might provide coverage for Benzphetamine (Didrex). Review their formularies to confirm if Benzphetamine is included.
  •  

  • Consider getting advice from a healthcare provider or pharmacist to choose a plan that suits your medical needs and financial situation.

 

Enroll in a Centene Health Plan

 

  • Complete the application process for the Centene insurance plan that offers the desired coverage. Ensure that all required personal and medical information is accurately provided.
  •  

  • Submit any additional documentation that may be required to validate coverage for Benzphetamine (Didrex), such as a letter of medical necessity from your healthcare provider.

 

Verify Coverage Details

 

  • Once enrolled, read through your policy documents to verify Benzphetamine (Didrex) coverage specifics, including co-pays, deductibles, and any preauthorization requirements.
  •  

  • Contact Centene’s customer service if you need clarification on how to access your prescription benefits for Benzphetamine.

 

Obtain Authorization (if required)

 

  • If your plan requires prior authorization for Benzphetamine (Didrex), work with your healthcare provider to submit a request for approval. Provide all necessary supporting documents CENTENE may request.
  •  

  • Follow up with Centene and your healthcare provider to track the status of your prior authorization request.

 

Fill the Prescription

 

  • Once authorization is confirmed, visit an in-network pharmacy and present your Centene insurance information to fill your Benzphetamine (Didrex) prescription.
  •  

  • Consult with the pharmacist if you have questions about your medication or co-payment process under Centene’s coverage.

 

Continually Monitor Your Coverage

 

  • Regularly review your coverage plan for any changes in prescription drug benefits that may affect Benzphetamine (Didrex), especially during policy renewal periods.
  •  

  • Stay informed about Centene's policy updates to ensure uninterrupted coverage for your medications.

 

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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.

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.

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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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