Does Health Net Cover Victoza

Explore if Health Net covers Victoza, reasons for denial, ways to secure coverage, uninsured costs, and FAQs for better understanding and access.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Does Health Net Cover Victoza?

 

  • Health Net may cover Victoza for individuals diagnosed with type 2 diabetes, when combined with diet and exercise therapy, to improve blood sugar control.
  •  

  • Coverage often requires prior authorization to confirm medical necessity based on individual patient circumstances.
  •  

  • Patients typically need to demonstrate inability to achieve adequate glycemic control with alternative medications to qualify for coverage.
  •  

  • The healthcare provider may be required to provide documentation of the patient's condition and previous treatment attempts.
  •  

  • Health Net policies can vary by state and specific plan, so it is important to consult the plan details or speak with a representative for the most accurate and personalized information.

 

Basic Criteria for Coverage

 

  • Prescribed by a licensed healthcare provider specialized in diabetes management.
  •  

  • Completion of necessary forms and documentation for prior authorization.
  •  

  • Verification that patient meets clinical guidelines set by Health Net.
  •  

  • Some plans may require trying and failing other lower-cost medications before providing coverage for Victoza.

 

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 Victoza Coverage with Health Net

 

Gather Your Information

 

  • Collect your Health Net insurance card and review your plan details to understand your coverage options.
  •  

  • Prepare personal information such as your policy number, prescription details for Victoza, and any relevant medical history.

 

Contact Health Net Customer Service

 

  • Use the customer service number on your insurance card to call Health Net for information regarding prescription drug coverage.
  •  

  • Specifically ask about coverage for Victoza under your current health plan and inquire about any necessary steps for approval.

 

Check the Health Net Formulary

 

  • Visit Health Net’s official website and search for the formulary or drug list to verify if Victoza is covered under your health plan.
  •  

  • Download or view the formulary to understand any requirements, such as pharmacy networks or restrictions.

 

Consult with Your Healthcare Provider

 

  • Discuss with your doctor the medical necessity of Victoza for your condition and request a supporting statement or prescription if required by Health Net.
  •  

  • Ensure that your doctor is aware of your health plan's requirements so they can assist with any necessary documentation.

 

Submit a Prior Authorization Request

 

  • If required, work with your healthcare provider to complete and submit a prior authorization request to Health Net for Victoza.
  •  

  • Ensure all requested information is accurately provided to avoid delays in processing.

 

Review Health Net's Response

 

  • Once the prior authorization is submitted, track the status by contacting Health Net or checking their online portal.
  •  

  • Upon receiving a response, review the approval or denial notice carefully for any further actions needed on your part.

 

Appeal a Denial if Necessary

 

  • If the request is denied, gather documentation and work with your doctor to file an appeal with Health Net.
  •  

  • Provide any additional information or clarifications that might support your case for Victoza coverage.

 

Finalize and Fill Your Prescription

 

  • Upon approval, visit an in-network pharmacy to fill your Victoza prescription, ensuring that you follow any specific Health Net requirements for pharmacy use.
  •  

  • Monitor your insurance statements to verify the correct application of coverage for the medication.
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 Health Net Cover Victoza

Explore if Health Net covers Victoza, reasons for denial, ways to secure coverage, uninsured costs, and FAQs for better understanding and access.
Curex allergy drops unboxing

Is Victoza Covered by Health Net

 

Does Health Net Cover Victoza?

 

  • Health Net may cover Victoza for individuals diagnosed with type 2 diabetes, when combined with diet and exercise therapy, to improve blood sugar control.
  •  

  • Coverage often requires prior authorization to confirm medical necessity based on individual patient circumstances.
  •  

  • Patients typically need to demonstrate inability to achieve adequate glycemic control with alternative medications to qualify for coverage.
  •  

  • The healthcare provider may be required to provide documentation of the patient's condition and previous treatment attempts.
  •  

  • Health Net policies can vary by state and specific plan, so it is important to consult the plan details or speak with a representative for the most accurate and personalized information.

 

Basic Criteria for Coverage

 

  • Prescribed by a licensed healthcare provider specialized in diabetes management.
  •  

  • Completion of necessary forms and documentation for prior authorization.
  •  

  • Verification that patient meets clinical guidelines set by Health Net.
  •  

  • Some plans may require trying and failing other lower-cost medications before providing coverage for Victoza.

 

A weight management program tailored to you

Start with Curex

Health Net's Approved Criteria for Victoza Coverage

 

Criteria for Victoza Coverage by Health Net

 

  • Diagnosis of Type 2 Diabetes Mellitus as confirmed by medical records.
  •  

  • Documentation showing that the patient has not achieved adequate blood glucose control with previous therapies, including lifestyle modifications and at least one other anti-diabetic medication, such as metformin.
  •  

  • Patient must have a body mass index (BMI) of 27 kg/m² or greater, which indicates overweight or obesity complicating diabetes management.
  •  

  • Prescribing must conform to the FDA-approved labeling for the treatment of type 2 diabetes.
  •  

  • Patient is 18 years of age or older.
  •  

  • Recent clinical evaluation indicating eligibility and safety for prescribing GLP-1 receptor agonists, including regular monitoring of thyroid function and renal status as per standard medical guidelines.
  •  

  • There must be no contraindications for the use of Victoza as specified in the product’s prescribing information, such as personal history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2.

 

Why Health Net Might Deny Victoza Coverage

 

Situations Where Health Net Does Not Cover Victoza

 

  • Victoza is prescribed for weight loss management in individuals who are not diagnosed with diabetes. Health Net might not cover the medication if it is used solely for weight loss without a type 2 diabetes diagnosis.
  •  

  • The patient does not meet the specific medical necessity criteria defined by Health Net. If the requirements for justified medical use are not fulfilled, coverage may be denied.
  •  

  • Victoza is prescribed for any condition that is considered experimental, investigational, or does not have FDA approval for the specific intended use. Health Net might deny coverage under these circumstances.
  •  

  • The prescription is written for a dosage that exceeds the FDA-approved limits. If the prescribed dosage is higher than the recommended amount, Health Net may reject the coverage.
  •  

  • The patient fails to demonstrate previous unsuccessful treatment attempts with other preferred alternative medications for type 2 diabetes. Health Net often requires documentation of trying and failing other less expensive medications first.
  •  

  • Incomplete or lack of prior authorization documentation. Health Net usually requires a pre-approval process, and failure to provide sufficient documentation can lead to denial of coverage for Victoza.
  •  

  • Coverage for Victoza is not included in the patient’s specific Health Net plan benefits. Each plan might have different covered drugs and Victoza might not be on the formulary list of some plans.

 

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

How Much Does Victoza Cost without Insurance?

 

Understanding Victoza Costs Without Insurance

 

  • The cost of Victoza without insurance can vary depending on the pharmacy and location, but typically it ranges from $900 to $1,200 for a 30-day supply.
  •  

  • Prices can fluctuate slightly due to different pharmacy pricing policies, geographic location, and available discounts or membership programs.
  •  

  • It's advisable to check with multiple pharmacies for the most accurate and competitive pricing if paying out-of-pocket.
  •  

  • Some pharmacies or pharmaceutical discount programs might offer lower prices or savings cards, so it could be beneficial to explore these options.

 

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 Victoza Coverage with Health Net

 

Gather Your Information

 

  • Collect your Health Net insurance card and review your plan details to understand your coverage options.
  •  

  • Prepare personal information such as your policy number, prescription details for Victoza, and any relevant medical history.

 

Contact Health Net Customer Service

 

  • Use the customer service number on your insurance card to call Health Net for information regarding prescription drug coverage.
  •  

  • Specifically ask about coverage for Victoza under your current health plan and inquire about any necessary steps for approval.

 

Check the Health Net Formulary

 

  • Visit Health Net’s official website and search for the formulary or drug list to verify if Victoza is covered under your health plan.
  •  

  • Download or view the formulary to understand any requirements, such as pharmacy networks or restrictions.

 

Consult with Your Healthcare Provider

 

  • Discuss with your doctor the medical necessity of Victoza for your condition and request a supporting statement or prescription if required by Health Net.
  •  

  • Ensure that your doctor is aware of your health plan's requirements so they can assist with any necessary documentation.

 

Submit a Prior Authorization Request

 

  • If required, work with your healthcare provider to complete and submit a prior authorization request to Health Net for Victoza.
  •  

  • Ensure all requested information is accurately provided to avoid delays in processing.

 

Review Health Net's Response

 

  • Once the prior authorization is submitted, track the status by contacting Health Net or checking their online portal.
  •  

  • Upon receiving a response, review the approval or denial notice carefully for any further actions needed on your part.

 

Appeal a Denial if Necessary

 

  • If the request is denied, gather documentation and work with your doctor to file an appeal with Health Net.
  •  

  • Provide any additional information or clarifications that might support your case for Victoza coverage.

 

Finalize and Fill Your Prescription

 

  • Upon approval, visit an in-network pharmacy to fill your Victoza prescription, ensuring that you follow any specific Health Net requirements for pharmacy use.
  •  

  • Monitor your insurance statements to verify the correct application of coverage for the medication.

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.

Victoza FAQ

What are the common side effects of Victoza?

 

Common Side Effects of Victoza

 

  • Gastrointestinal Issues: Nausea, vomiting, diarrhea, and constipation are frequent side effects, typically subsiding after a few weeks.
  •  

  • Headaches: Some individuals may experience mild to moderate headaches.
  •  

  • Fatigue: Feeling tired or weak can occur, especially during initial treatment.
  •  

  • Hypoglycemia: Though rarer, low blood sugar may happen, particularly if combined with other diabetes medications.
  •  

  • Injection Site Reactions: Redness, itching, or swelling at the site of injection can arise.

 

Note

 

  • Consult your healthcare provider if side effects persist or worsen.

 

How does Victoza help with weight loss?

 

How Victoza Assists in Weight Reduction

 

  • Appetite Suppression: Victoza (liraglutide), a GLP-1 receptor agonist, influences brain regions that regulate appetite, reducing hunger and food intake.
  •  

  • Delayed Gastric Emptying: It slows stomach emptying, contributing to prolonged feelings of fullness after meals, which helps reduce calorie consumption.
  •  

  • Improved Insulin Sensitivity: Enhances insulin efficiency, promoting better glucose utilization and reduced fat storage, supporting weight loss.
  •  

  • Fat Metabolism: Encourages the breakdown of stored fat for energy usage, facilitating gradual weight reduction.

 

Can Victoza be used for type 1 diabetes?

 

Can Victoza Be Used for Type 1 Diabetes?

 

  • Victoza (liraglutide) is primarily prescribed for Type 2 diabetes management. It works by stimulating insulin secretion and delaying gastric emptying.
  •  

  • For Type 1 diabetes, the body doesn't produce insulin, making Victoza ineffective as a sole treatment. Patients require insulin replacement therapy.
  •  

  • Some studies explore adjunctive use of GLP-1 receptor agonists like Victoza to improve glycemic control and reduce insulin doses in Type 1, but it's not standard.

 

Recommendation

 

  • Consult a healthcare provider before considering Victoza for Type 1 diabetes, focusing on its potential benefits and risks within individual treatment plans.

 

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