Does Humana Cover Jardiance

Explore if Humana covers Jardiance, learn why coverage might be denied, ways to secure it, costs without insurance, and answers to common questions.
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“Curex is changing the landscape of allergies in 2024”
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Does Humana Cover Jardiance?

 

  • Humana typically covers Jardiance, a medication used for type 2 diabetes and cardiovascular health, under its prescription drug plans. Coverage depends on the specific Humana plan and formulary tier placement.
  •  

  • Criteria for coverage usually include a diagnosis of type 2 diabetes and a prescription from a healthcare provider.
  •  

  • Patients might need to demonstrate prior failure or contraindication to other diabetes medications.
  •  

  • Utilization management restrictions like prior authorization, step therapy, or quantity limits may be applied for coverage approval.
  •  

  • For precise details, members should consult their specific Humana plan documents or contact Humana customer service.

 

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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 Jardiance Coverage with Humana

 

Contact Humana Customer Service

 

  • Call the customer service number on the back of your Humana insurance card to speak with a representative.
  •  

  • Ask them specifically about coverage for Jardiance under your current plan.

 

Review Plan Coverage

 

  • Check your Humana health plan documents either online through your Humana account or in the physical documents you received.
  •  

  • Identify sections related to prescription drug coverage to find information on tiers and specific medications.

 

Consult with Your Healthcare Provider

 

  • Discuss your prescription needs with your healthcare provider, focusing on whether Jardiance is necessary and if alternatives are available.
  •  

  • Ask your provider to provide documentation or a letter of medical necessity if Jardiance is not initially covered under your plan.

 

Request Prior Authorization

 

  • If Jardiance is not covered or requires special approval, request a prior authorization form from Humana.
  •  

  • Work with your healthcare provider to complete and submit the form, including any required documentation.

 

Check Prescription Drug Formulary

 

  • Access Humana's online formulary tool through your account or ask a customer service representative to check if Jardiance is on the list.
  •  

  • Confirm the tier level of Jardiance and any associated copay or cost-sharing details.

 

Enroll in a Suitable Plan during Open Enrollment

 

  • If Jardiance isn't covered under your current plan, consider switching to a plan that includes it during open enrollment.
  •  

  • Consult with an insurance advisor to compare options and find a suitable Humana plan that covers Jardiance.

 

Appeal Denied Coverage

 

  • If a request for coverage is denied, follow Humana's appeal process by submitting any additional information requested.
  •  

  • Include documentation from your healthcare provider or a letter of medical necessity to support your case.

 

Utilize Discounts and Assistance Programs

 

  • Investigate the Eli Lilly Jardiance savings card or patient support programs for financial assistance or discounts.
  •  

  • Contact your pharmacy for additional discount programs or potential switching options if Jardiance is unaffordable.

 

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Does Humana Cover Jardiance

Explore if Humana covers Jardiance, learn why coverage might be denied, ways to secure it, costs without insurance, and answers to common questions.
Curex allergy drops unboxing

Is Jardiance Covered by Humana

 

Does Humana Cover Jardiance?

 

  • Humana typically covers Jardiance, a medication used for type 2 diabetes and cardiovascular health, under its prescription drug plans. Coverage depends on the specific Humana plan and formulary tier placement.
  •  

  • Criteria for coverage usually include a diagnosis of type 2 diabetes and a prescription from a healthcare provider.
  •  

  • Patients might need to demonstrate prior failure or contraindication to other diabetes medications.
  •  

  • Utilization management restrictions like prior authorization, step therapy, or quantity limits may be applied for coverage approval.
  •  

  • For precise details, members should consult their specific Humana plan documents or contact Humana customer service.

 

A weight management program tailored to you

Start with Curex

Humana's Approved Criteria for Jardiance Coverage

 

Coverage Criteria for Jardiance

 

  • Jardiance is covered for individuals diagnosed with Type 2 Diabetes Mellitus who have not achieved adequate glycemic control with lifestyle interventions and currently require a medication to help manage their blood sugar levels.
  •  

  • Patients with established cardiovascular disease seeking a reduction in the risk of cardiovascular events, such as heart attack, stroke, or cardiovascular death, may qualify for Jardiance coverage.
  •  

  • For those with chronic kidney disease, Jardiance may be approved if there is evidence supporting its use to reduce the risk of progression of kidney disease or cardiovascular-related outcomes.
  •  

  • Coverage may be extended to patients with heart failure who require medication to reduce the risk of cardiovascular death and hospitalization for heart failure.
  •  

  • Demonstrated intolerance or contraindication to other antidiabetic medications may qualify a patient for Jardiance coverage as an alternative therapeutic option.

 

Approval for Continued Use

 

  • Patients must demonstrate consistent compliance with prescribed Jardiance therapy and maintain regular follow-up appointments with their healthcare provider to monitor effectiveness and tolerance of the medication.
  •  

  • Continued coverage may require documentation of positive clinical outcomes such as improved glycated hemoglobin (A1C) levels, stabilization of kidney function, or improved heart failure management.
  •  

  • Periodic re-evaluation by the prescribing healthcare provider and submission of updated medical records to confirm the ongoing need for Jardiance therapy are necessary to maintain coverage.

 

Why Humana Might Deny Jardiance Coverage

 

Reasons Humana Might Deny Jardiance Coverage

 

  • Patient does not meet the medical necessity criteria for Jardiance as determined by Humana’s review process.
  •  

  • The prescribed use of Jardiance is not approved by the FDA for the diagnosed condition.
  •  

  • Lack of evidence supporting the use of Jardiance for the patient’s specific condition as evaluated by Humana’s criteria.
  •  

  • Inadequate documentation or failure to provide required prior authorization information as specified by Humana.
  •  

  • The patient has not tried or failed alternative, preferred medications that are covered under Humana’s plan.
  •  

  • Jardiance is determined to be non-formulary and there is no exception process in place or approval for its coverage.
  •  

  • Duplicate therapy, where Jardiance is being prescribed along with other medications that serve the same function, without specific justification.
  •  

  • Patient’s plan does not include prescription drug coverage, or Jardiance is specifically excluded from the list of covered medications.
  •  

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

How Much Does Jardiance Cost without Insurance?

 

Estimated Cost of Jardiance Without Insurance

 

  • The cost of Jardiance can vary depending on the pharmacy you visit, but as an oral medication used primarily to treat type 2 diabetes, it is often priced at a premium. Without insurance, the average monthly cost is approximately $550 to $650 for a 30-day supply of 10 mg or 25 mg tablets.
  •  

  • Prices can also vary based on location, pharmacy discounts, and available manufacturer coupons, so it's advisable to shop around or look for any available patient assistance programs to potentially lower the out-of-pocket cost.

 

Ways to Lower the Cost of Jardiance

 

  • **Pharmacy Discount Cards:** Utilizing pharmacy discount cards can sometimes provide substantial savings on your prescription, reducing the price by a notable percentage.
  •  

  • **Manufacturer Coupons and Programs:** Eli Lilly, the manufacturer of Jardiance, may offer savings cards or assistance programs to help eligible patients reduce their costs. It's worth checking through their official website or consulting with your healthcare provider.
  •  

  • **Generic Alternatives:** Although there may not be a generic version of Jardiance available currently, consulting with your healthcare provider about other generic medications for your condition may offer a more budget-friendly option.
  •  

  • **Bulk Purchasing Options:** Some pharmacies might offer discounts for purchasing a 90-day supply instead of a 30-day supply, which can lead to savings in the long term.

 

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 Jardiance Coverage with Humana

 

Contact Humana Customer Service

 

  • Call the customer service number on the back of your Humana insurance card to speak with a representative.
  •  

  • Ask them specifically about coverage for Jardiance under your current plan.

 

Review Plan Coverage

 

  • Check your Humana health plan documents either online through your Humana account or in the physical documents you received.
  •  

  • Identify sections related to prescription drug coverage to find information on tiers and specific medications.

 

Consult with Your Healthcare Provider

 

  • Discuss your prescription needs with your healthcare provider, focusing on whether Jardiance is necessary and if alternatives are available.
  •  

  • Ask your provider to provide documentation or a letter of medical necessity if Jardiance is not initially covered under your plan.

 

Request Prior Authorization

 

  • If Jardiance is not covered or requires special approval, request a prior authorization form from Humana.
  •  

  • Work with your healthcare provider to complete and submit the form, including any required documentation.

 

Check Prescription Drug Formulary

 

  • Access Humana's online formulary tool through your account or ask a customer service representative to check if Jardiance is on the list.
  •  

  • Confirm the tier level of Jardiance and any associated copay or cost-sharing details.

 

Enroll in a Suitable Plan during Open Enrollment

 

  • If Jardiance isn't covered under your current plan, consider switching to a plan that includes it during open enrollment.
  •  

  • Consult with an insurance advisor to compare options and find a suitable Humana plan that covers Jardiance.

 

Appeal Denied Coverage

 

  • If a request for coverage is denied, follow Humana's appeal process by submitting any additional information requested.
  •  

  • Include documentation from your healthcare provider or a letter of medical necessity to support your case.

 

Utilize Discounts and Assistance Programs

 

  • Investigate the Eli Lilly Jardiance savings card or patient support programs for financial assistance or discounts.
  •  

  • Contact your pharmacy for additional discount programs or potential switching options if Jardiance is unaffordable.

 

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.

Jardiance FAQ

What is Jardiance used for?

 

What is Jardiance Used For?

 

  • Jardiance is primarily used to manage type 2 diabetes by helping to lower blood sugar levels in adults.
  •  

  • It works by promoting the excretion of excess glucose through urine, thus reducing the amount of sugar the body absorbs.
  •  

  • In addition to blood sugar management, Jardiance is also prescribed to reduce the risk of cardiovascular death in adults with type 2 diabetes and established cardiovascular disease.
  •  

  • Patients with heart failure may benefit from Jardiance as it helps in reducing the risk of hospitalization due to heart failure.

 

What are the side effects of Jardiance?

 

Common Side Effects of Jardiance

 

  • Urinary tract infections: Symptoms may include burning sensation while urinating and frequent urges.
  • Increased urination: This is due to Jardiance's mechanism of removing excess glucose via urine.

 

Serious Side Effects

 

  • Ketoacidosis: This rare condition might present as difficulty breathing, nausea, or confusion.
  • Dehydration: Symptoms can be dizziness or light-headedness, especially upon standing.

 

Allergic Reactions

 

  • Rash or hives can occur, requiring immediate medical attention.

 

Precautions

 

  • Consult your healthcare provider before starting if you have kidney issues or are on diuretics.

 

Can Jardiance cause weight loss?

 

Can Jardiance Cause Weight Loss?

 

  • Yes, Jardiance (empagliflozin) can lead to weight loss. This medication is primarily used to treat type 2 diabetes.
  •  

  • It works by preventing glucose reabsorption in the kidneys, leading to glucose excretion through urine, which may also result in calorie loss.
  •  

  • Clinical trials have shown weight reduction as a common side effect, often averaging 2-3 kg.
  •  

  • This loss can differ among individuals; factors like diet and exercise may influence the extent of weight change.
  •  

  • Always consult with healthcare professionals to understand the benefits and risks associated with your specific health condition.

 

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. 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?

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.

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. We don’t prescribe Ozempic®* or Wegovy®.* We may prescribe treatments containing compounded semaglutide or tirzepatide. 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.

Does Humana Cover Jardiance

Explore if Humana covers Jardiance, learn why coverage might be denied, ways to secure it, costs without insurance, and answers to common questions.
Curex allergy drops unboxing

Does Humana Cover Jardiance

 

Does Humana Cover Jardiance?

 

  • Humana typically covers Jardiance, a medication used for type 2 diabetes and cardiovascular health, under its prescription drug plans. Coverage depends on the specific Humana plan and formulary tier placement.
  •  

  • Criteria for coverage usually include a diagnosis of type 2 diabetes and a prescription from a healthcare provider.
  •  

  • Patients might need to demonstrate prior failure or contraindication to other diabetes medications.
  •  

  • Utilization management restrictions like prior authorization, step therapy, or quantity limits may be applied for coverage approval.
  •  

  • For precise details, members should consult their specific Humana plan documents or contact Humana customer service.

 

A weight management program tailored to you

Start with Curex

Why Humana Might Deny Jardiance Coverage

 

Coverage Criteria for Jardiance

 

  • Jardiance is covered for individuals diagnosed with Type 2 Diabetes Mellitus who have not achieved adequate glycemic control with lifestyle interventions and currently require a medication to help manage their blood sugar levels.
  •  

  • Patients with established cardiovascular disease seeking a reduction in the risk of cardiovascular events, such as heart attack, stroke, or cardiovascular death, may qualify for Jardiance coverage.
  •  

  • For those with chronic kidney disease, Jardiance may be approved if there is evidence supporting its use to reduce the risk of progression of kidney disease or cardiovascular-related outcomes.
  •  

  • Coverage may be extended to patients with heart failure who require medication to reduce the risk of cardiovascular death and hospitalization for heart failure.
  •  

  • Demonstrated intolerance or contraindication to other antidiabetic medications may qualify a patient for Jardiance coverage as an alternative therapeutic option.

 

Approval for Continued Use

 

  • Patients must demonstrate consistent compliance with prescribed Jardiance therapy and maintain regular follow-up appointments with their healthcare provider to monitor effectiveness and tolerance of the medication.
  •  

  • Continued coverage may require documentation of positive clinical outcomes such as improved glycated hemoglobin (A1C) levels, stabilization of kidney function, or improved heart failure management.
  •  

  • Periodic re-evaluation by the prescribing healthcare provider and submission of updated medical records to confirm the ongoing need for Jardiance therapy are necessary to maintain coverage.

 

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

Jardiance FAQ

 

Reasons Humana Might Deny Jardiance Coverage

 

  • Patient does not meet the medical necessity criteria for Jardiance as determined by Humana’s review process.
  •  

  • The prescribed use of Jardiance is not approved by the FDA for the diagnosed condition.
  •  

  • Lack of evidence supporting the use of Jardiance for the patient’s specific condition as evaluated by Humana’s criteria.
  •  

  • Inadequate documentation or failure to provide required prior authorization information as specified by Humana.
  •  

  • The patient has not tried or failed alternative, preferred medications that are covered under Humana’s plan.
  •  

  • Jardiance is determined to be non-formulary and there is no exception process in place or approval for its coverage.
  •  

  • Duplicate therapy, where Jardiance is being prescribed along with other medications that serve the same function, without specific justification.
  •  

  • Patient’s plan does not include prescription drug coverage, or Jardiance is specifically excluded from the list of covered medications.
  •  

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 Much Does Jardiance Cost without Insurance?

 

Estimated Cost of Jardiance Without Insurance

 

  • The cost of Jardiance can vary depending on the pharmacy you visit, but as an oral medication used primarily to treat type 2 diabetes, it is often priced at a premium. Without insurance, the average monthly cost is approximately $550 to $650 for a 30-day supply of 10 mg or 25 mg tablets.
  •  

  • Prices can also vary based on location, pharmacy discounts, and available manufacturer coupons, so it's advisable to shop around or look for any available patient assistance programs to potentially lower the out-of-pocket cost.

 

Ways to Lower the Cost of Jardiance

 

  • **Pharmacy Discount Cards:** Utilizing pharmacy discount cards can sometimes provide substantial savings on your prescription, reducing the price by a notable percentage.
  •  

  • **Manufacturer Coupons and Programs:** Eli Lilly, the manufacturer of Jardiance, may offer savings cards or assistance programs to help eligible patients reduce their costs. It's worth checking through their official website or consulting with your healthcare provider.
  •  

  • **Generic Alternatives:** Although there may not be a generic version of Jardiance available currently, consulting with your healthcare provider about other generic medications for your condition may offer a more budget-friendly option.
  •  

  • **Bulk Purchasing Options:** Some pharmacies might offer discounts for purchasing a 90-day supply instead of a 30-day supply, which can lead to savings in the long term.

 

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.

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.