Does Florida Blue (Blue Cross Blue Shield of Florida) Cover Vyvanse

Explore Florida Blue's coverage of Vyvanse, reasons for denial, ways to secure coverage, cost without insurance, and FAQs in this comprehensive guide.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Does Florida Blue Cover Vyvanse?

 

  • Florida Blue (Blue Cross Blue Shield of Florida) may cover Vyvanse under its prescription drug benefits. However, coverage can depend on specific plans and individual needs.
  •  

  • Typically, coverage for Vyvanse requires a prescription from a healthcare provider. Your doctor might need to demonstrate the medical necessity for this ADHD medication.
  •  

  • Prior authorization may be necessary, meaning your doctor must justify the need for Vyvanse before approval.
  •  

  • Check your specific policy details as coverage might vary. Contact Florida Blue customer service for precise information about your plan.
  •  

  • You might have a co-pay depending on your insurance plan tier. Review formulary lists to see if Vyvanse is included and if there are preferred alternatives.

 

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 Vyvanse Coverage with Florida Blue (Blue Cross Blue Shield of Florida)

 

Gather Necessary Information

 

  • Have your Florida Blue member ID card handy to provide accurate information when contacting your insurance.
  •  
  • Know the dosage and frequency of Vyvanse as prescribed by your doctor.
  •  
  • Make sure you have your doctor's contact information available, in case Florida Blue requires additional documentation.

 

Check Your Benefits

 

  • Log into your Florida Blue online account to review your policy’s coverage on prescription medications.
  •  
  • Look for details on mental health medications coverage, ADHD medication policies, or specifically for Vyvanse.
  •  
  • Contact Florida Blue customer service for clarification if you are unable to locate specific information online.

 

Contact Florida Blue

 

  • Call the customer service number on the back of your insurance card to ask about Vyvanse coverage.
  •  
  • Inquire about whether prior authorization is necessary for Vyvanse.
  •  
  • If prior authorization is needed, request information on the procedure to obtain it.

 

Consult with Your Doctor

 

  • If prior authorization or additional documentation is needed, speak with your prescribing doctor.
  •  
  • Inform them of what Florida Blue requires to cover Vyvanse and ensure that any paperwork or necessary medical history is submitted promptly.

 

Submit Prior Authorization

 

  • If required, your doctor needs to submit a prior authorization request to Florida Blue.
  •  
  • Follow up with both your doctor’s office and Florida Blue to ensure the paperwork is processed quickly.
  •  
  • Allow some time for Florida Blue to review and respond to the authorization request.

 

Verify Coverage Approval

 

  • Once you have been notified of approval, confirm the details with Florida Blue to understand any copayment, coinsurance, or deductible you might be responsible for.
  •  
  • Review the terms of the coverage such as quantity limits or any restrictions on dosage.
  •  
  • Keep a record of the approval letter or confirmation notice from Florida Blue for future reference.

 

Fill Your Prescription

 

  • Visit your preferred pharmacy with your prescription and Florida Blue insurance information.
  •  
  • Ensure the pharmacy processes the prescription through your Florida Blue plan to utilize your coverage benefits.
  •  
  • Pay attention to any copayment due at the pharmacy during the transaction.

 

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 Florida Blue (Blue Cross Blue Shield of Florida) Cover Vyvanse

Explore Florida Blue's coverage of Vyvanse, reasons for denial, ways to secure coverage, cost without insurance, and FAQs in this comprehensive guide.
Curex allergy drops unboxing

Is Vyvanse Covered by Florida Blue (Blue Cross Blue Shield of Florida)

 

Does Florida Blue Cover Vyvanse?

 

  • Florida Blue (Blue Cross Blue Shield of Florida) may cover Vyvanse under its prescription drug benefits. However, coverage can depend on specific plans and individual needs.
  •  

  • Typically, coverage for Vyvanse requires a prescription from a healthcare provider. Your doctor might need to demonstrate the medical necessity for this ADHD medication.
  •  

  • Prior authorization may be necessary, meaning your doctor must justify the need for Vyvanse before approval.
  •  

  • Check your specific policy details as coverage might vary. Contact Florida Blue customer service for precise information about your plan.
  •  

  • You might have a co-pay depending on your insurance plan tier. Review formulary lists to see if Vyvanse is included and if there are preferred alternatives.

 

A weight management program tailored to you

Start with Curex

Florida Blue (Blue Cross Blue Shield of Florida)'s Approved Criteria for Vyvanse Coverage

 

Criteria for Coverage of Vyvanse

 

  • The patient must have a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) or moderate to severe Binge Eating Disorder (BED), validated by a healthcare provider based on established diagnostic criteria.
  •  

  • The prescribing healthcare provider must be a licensed practicing physician or authorized prescriber in the field of psychiatry or related specialties with expertise in the diagnosis and treatment of ADHD or BED.
  •  

  • Documentation must be provided to demonstrate that conventional treatment options have been inadequate or are contraindicated, requiring Vyvanse as a necessary therapy.
  •  

  • For adults, the patient must demonstrate a need for pharmacotherapy due to significant symptom interference with academic, social, or occupational functioning.
  •  

  • For pediatric patients, a comprehensive treatment plan must be established, including behavioral therapy in conjunction with medication management.
  •  

  • A trial period with Vyvanse is required, during which efficacy and the patient's response to the medication will be monitored and documented.
  •  

  • Patients must adhere to follow-up consultations with their healthcare provider to evaluate the treatment's effectiveness and make necessary adjustments.
  •  

  • Prior authorization may be required, necessitating providers to submit a request detailing the medical necessity of Vyvanse for the individual's treatment plan.

 

Why Florida Blue (Blue Cross Blue Shield of Florida) Might Deny Vyvanse Coverage

 

Non-FDA Approved Uses

 

  • Florida Blue might deny coverage for Vyvanse if it is prescribed for conditions not approved by the FDA.

 

Lack of Prior Authorization

 

  • Without prior authorization, coverage for Vyvanse may be denied. Florida Blue often requires this step to verify medical necessity.

 

Policy Exclusions

 

  • If Vyvanse is specifically listed as an exclusion in the member's personal health insurance plan, it will not be covered.

 

Off-Formulary Medication

 

  • Vyvanse might not be covered if it is not included in Florida Blue's formulary, which is a list of preferred medications.

 

Non-Compliance with Dosage Guidelines

 

  • Coverage may be denied if the dosage prescribed falls outside the recommended guidelines provided by Florida Blue.

 

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

How Much Does Vyvanse Cost without Insurance?

 

Understanding the Cost of Vyvanse Without Insurance

 

  • Purchase prices for Vyvanse can vary depending on factors such as the dosage and the location of purchase. Typically, a 30-day supply of Vyvanse can price approximately between $350 and $500.
  •  

  • Costs might differ by pharmacy, with some options offering discounts or savings programs for those paying out-of-pocket.
  •  

  • It’s advisable to explore pharmacy discount cards or manufacturer copay assistance programs, as they can sometimes reduce the retail price.
  •  

  • Online pharmacy services may also present more competitive pricing, but always ensure they are reputable and that prescriptions are valid and properly filled.

 

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 Vyvanse Coverage with Florida Blue (Blue Cross Blue Shield of Florida)

 

Gather Necessary Information

 

  • Have your Florida Blue member ID card handy to provide accurate information when contacting your insurance.
  •  
  • Know the dosage and frequency of Vyvanse as prescribed by your doctor.
  •  
  • Make sure you have your doctor's contact information available, in case Florida Blue requires additional documentation.

 

Check Your Benefits

 

  • Log into your Florida Blue online account to review your policy’s coverage on prescription medications.
  •  
  • Look for details on mental health medications coverage, ADHD medication policies, or specifically for Vyvanse.
  •  
  • Contact Florida Blue customer service for clarification if you are unable to locate specific information online.

 

Contact Florida Blue

 

  • Call the customer service number on the back of your insurance card to ask about Vyvanse coverage.
  •  
  • Inquire about whether prior authorization is necessary for Vyvanse.
  •  
  • If prior authorization is needed, request information on the procedure to obtain it.

 

Consult with Your Doctor

 

  • If prior authorization or additional documentation is needed, speak with your prescribing doctor.
  •  
  • Inform them of what Florida Blue requires to cover Vyvanse and ensure that any paperwork or necessary medical history is submitted promptly.

 

Submit Prior Authorization

 

  • If required, your doctor needs to submit a prior authorization request to Florida Blue.
  •  
  • Follow up with both your doctor’s office and Florida Blue to ensure the paperwork is processed quickly.
  •  
  • Allow some time for Florida Blue to review and respond to the authorization request.

 

Verify Coverage Approval

 

  • Once you have been notified of approval, confirm the details with Florida Blue to understand any copayment, coinsurance, or deductible you might be responsible for.
  •  
  • Review the terms of the coverage such as quantity limits or any restrictions on dosage.
  •  
  • Keep a record of the approval letter or confirmation notice from Florida Blue for future reference.

 

Fill Your Prescription

 

  • Visit your preferred pharmacy with your prescription and Florida Blue insurance information.
  •  
  • Ensure the pharmacy processes the prescription through your Florida Blue plan to utilize your coverage benefits.
  •  
  • Pay attention to any copayment due at the pharmacy during the transaction.

 

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.

Vyvanse FAQ

What are the side effects of Vyvanse?

 

Common Side Effects

 

  • Loss of appetite
  • Insomnia
  • Dry mouth
  • Anxiety
  • Weight loss
  • Increased heart rate

 

Less Common Side Effects

 

  • Dizziness
  • Diarrhea
  • Rash
  • Blurred vision
  • Irritability

 

Serious Side Effects

 

  • Chest pain
  • Shortness of breath
  • Hallucinations
  • Severe anxiety or panic attacks
  • Swelling of extremities
  • Uncontrolled movements or vocal outbursts

 

Recommendations

 

  • Consult with a healthcare provider if side effects persist or worsen.
  • Monitor heart rate and blood pressure regularly.
  • Inform your doctor of any other medications being taken.

 

How long does Vyvanse stay in your system?

 

How Vyvanse Functions

 

  • Vyvanse is a prodrug, meaning it's inactive until metabolized in the body, which affects its duration.

 

Duration in the System

 

  • Vyvanse typically lasts 10-12 hours for therapeutic effects due to its extended-release formulation.
  • The half-life is around 10-13 hours, meaning it takes this time for half of the drug to be eliminated.

 

Detection Window

 

  • Blood: Detectable for up to 8 hours after ingestion.
  • Urine: Can be detected for up to 3 days, depending on metabolism and dosage.
  • Hair: May remain detectable for up to a month or longer.

 

Factors Influencing Duration

 

  • Metabolic rate, age, organ function, and dosage can alter the duration.
  • Chronic use may lead to accumulation, slightly extending the detectable period.

 

Is Vyvanse the same as Adderall?

 

Difference Between Vyvanse and Adderall

 

  • Composition: Vyvanse contains lisdexamfetamine, a prodrug requiring conversion in the body, while Adderall contains mixed amphetamine salts.
  •  

  • Onset: Vyvanse typically takes longer to start acting due to its prodrug nature, whereas Adderall provides quicker results.
  •  

  • Duration: Vyvanse lasts about 10-14 hours, while Adderall's duration varies based on the formulation: instant-release lasts 4-6 hours, extended-release lasts up to 12 hours.
  •  

  • Use: Both treat ADHD, but Vyvanse is also approved for binge eating disorder.
  •  

  • Abuse Potential: Vyvanse's requirement for metabolic activation reduces its immediate abuse risk compared to Adderall.

 

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