Does Humana Cover Victoza

Explore Humana's policies on Victoza coverage, costs without insurance, and tips to secure coverage. Plus, frequently asked questions about Victoza.
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Coverage of Victoza with Humana

 

  • Humana may cover Victoza under its prescription drug plans, but coverage depends on the specific plan and formulary. Consult your specific plan details.
  •  

  • Typically, Victoza is covered for patients diagnosed with type 2 diabetes to help manage blood sugar levels along with diet and exercise.

 

Criteria for Coverage

 

  • A prescription from your healthcare provider is required to receive coverage for Victoza.
  •  

  • Prior authorization might be needed, meaning your doctor must confirm that Victoza is medically necessary.
  •  

  • Some plans may require you to try other medications first before approving coverage for Victoza.

 

Basic Rules for Getting Victoza Approved

 

  • Check if Victoza is listed on your plan's formulary. If not, you may need your doctor to submit a formulary exception request.
  •  

  • Follow the process for prior authorization as directed by Humana, if required.
  •  

  • Fulfill any step therapy requirements, which might involve trying generic alternatives first.

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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 Humana

 

Understand Victoza and Your Insurance Coverage

 

  • Victoza is a medication used to treat type 2 diabetes, and it can often be expensive without proper insurance coverage. It's essential to know whether Humana includes Victoza in their formulary, which is a list of medications that the insurance plan covers.
  •  

  • Check with Humana to see if your specific plan covers Victoza. You can do this by reviewing your Humana insurance plan documents or by contacting customer service.

 

Contact Humana Customer Service

 

  • Reach out to Humana's customer service team to inquire about coverage for Victoza. You can typically find their contact information on your insurance card or on Humana's website.
  •  

  • Ask the representative to provide details about any prior authorization requirements, quantity limits, or step therapy protocols that might affect your ability to get Victoza covered.

 

Consult Your Healthcare Provider

 

  • Schedule a meeting with your healthcare provider to discuss the necessity of Victoza in your treatment plan.
  •  

  • Request that your healthcare provider submits any necessary documentation, such as a letter of medical necessity, to Humana. This can help with obtaining prior authorization for Victoza.

 

Submit a Prior Authorization Request

 

  • Work with your healthcare provider to complete and submit a prior authorization request to Humana, if required. This process involves demonstrating the medical necessity of Victoza for your treatment.
  •  

  • Make sure you provide all requested documentation and follow Humana's specific submission guidelines to avoid delays.

 

Review and Respond to the Determination

 

  • Once Humana processes your prior authorization request, they will send you a determination letter. This letter will indicate if Victoza coverage is approved or denied.
  •  

  • If your request is approved, follow the guidelines provided for obtaining Victoza through your insurance coverage.
  •  

  • If denied, consult with your healthcare provider and consider appealing the decision. They can assist you with the appeals process and provide further supporting documentation if needed.

 

Manage Your Prescription at the Pharmacy

 

  • Visit your pharmacy to fill your Victoza prescription. Ensure the pharmacy processes the prescription through Humana to receive the coverage benefit.
  •  

  • If there are issues with coverage at the pharmacy, contact Humana customer service for immediate assistance.

 

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FAQs

Does Humana Cover Victoza

Explore Humana's policies on Victoza coverage, costs without insurance, and tips to secure coverage. Plus, frequently asked questions about Victoza.
Curex allergy drops unboxing

Is Victoza Covered by Humana

 

Coverage of Victoza with Humana

 

  • Humana may cover Victoza under its prescription drug plans, but coverage depends on the specific plan and formulary. Consult your specific plan details.
  •  

  • Typically, Victoza is covered for patients diagnosed with type 2 diabetes to help manage blood sugar levels along with diet and exercise.

 

Criteria for Coverage

 

  • A prescription from your healthcare provider is required to receive coverage for Victoza.
  •  

  • Prior authorization might be needed, meaning your doctor must confirm that Victoza is medically necessary.
  •  

  • Some plans may require you to try other medications first before approving coverage for Victoza.

 

Basic Rules for Getting Victoza Approved

 

  • Check if Victoza is listed on your plan's formulary. If not, you may need your doctor to submit a formulary exception request.
  •  

  • Follow the process for prior authorization as directed by Humana, if required.
  •  

  • Fulfill any step therapy requirements, which might involve trying generic alternatives first.

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Humana's Approved Criteria for Victoza Coverage

 

Victoza Coverage Criteria by Humana

 

  • Victoza (liraglutide) is indicated for patients with type 2 diabetes mellitus as part of a comprehensive treatment plan that includes diet and exercise.
  •  

  • The patient must have a documented diagnosis of type 2 diabetes mellitus.
  •  

  • It is required that the patient has demonstrated inadequate glycemic control on one or more oral anti-diabetic medications unless contraindicated or intolerable.
  •  

  • For individuals using insulin, the patient must be using Victoza as adjunct therapy to enhance glycemic control.
  •  

  • The patient must be at least 18 years of age.
  •  

  • Prior authorization may be necessary to ensure criteria are met efficiently.

 

Additional Considerations

 

  • Victoza may be approved for chronic weight management concurrent with type 2 diabetes treatment where applicable.
  •  

  • Preferential coverage will often depend on trial and documented intolerance or contraindication of alternative GLP-1 receptor agonists.
  •  

  • Humana may require periodic re-evaluation for effectiveness and necessity, typically involving physician-submitted progress notes.

 

Why Humana Might Deny Victoza Coverage

 

Criteria for Denial of Victoza Coverage by Humana

 

  • Non-Formulary Drug: Victoza may not be included in Humana's drug formulary, which lists covered medications. If it is not listed, the insurance might deny coverage.
  •  

  • Alternative Medications Available: Humana may deny coverage if there are preferred, less expensive, or generic alternatives available that are considered equally effective.
  •  

  • Off-Label Use: If Victoza is prescribed for a condition not approved by the FDA, Humana may deny coverage. Coverage is typically limited to FDA-approved uses.
  •  

  • Lack of Medical Necessity: Coverage may be denied if Humana determines that Victoza is not medically necessary based on submitted documentation or if proper documentation is lacking.
  •  

  • Required Prior Authorization Not Obtained: If Humana requires prior authorization and the proper request and documentation have not been submitted or approved, they could deny coverage.
  •  

  • Step Therapy Requirements: If Humana mandates trying other specific medications before covering Victoza and these steps have not been followed, coverage may be denied.
  •  

  • Plan Exclusions: If the patient's specific plan explicitly excludes Victoza from coverage, it will not be covered, regardless of circumstances.

 

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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 Humana

 

Understand Victoza and Your Insurance Coverage

 

  • Victoza is a medication used to treat type 2 diabetes, and it can often be expensive without proper insurance coverage. It's essential to know whether Humana includes Victoza in their formulary, which is a list of medications that the insurance plan covers.
  •  

  • Check with Humana to see if your specific plan covers Victoza. You can do this by reviewing your Humana insurance plan documents or by contacting customer service.

 

Contact Humana Customer Service

 

  • Reach out to Humana's customer service team to inquire about coverage for Victoza. You can typically find their contact information on your insurance card or on Humana's website.
  •  

  • Ask the representative to provide details about any prior authorization requirements, quantity limits, or step therapy protocols that might affect your ability to get Victoza covered.

 

Consult Your Healthcare Provider

 

  • Schedule a meeting with your healthcare provider to discuss the necessity of Victoza in your treatment plan.
  •  

  • Request that your healthcare provider submits any necessary documentation, such as a letter of medical necessity, to Humana. This can help with obtaining prior authorization for Victoza.

 

Submit a Prior Authorization Request

 

  • Work with your healthcare provider to complete and submit a prior authorization request to Humana, if required. This process involves demonstrating the medical necessity of Victoza for your treatment.
  •  

  • Make sure you provide all requested documentation and follow Humana's specific submission guidelines to avoid delays.

 

Review and Respond to the Determination

 

  • Once Humana processes your prior authorization request, they will send you a determination letter. This letter will indicate if Victoza coverage is approved or denied.
  •  

  • If your request is approved, follow the guidelines provided for obtaining Victoza through your insurance coverage.
  •  

  • If denied, consult with your healthcare provider and consider appealing the decision. They can assist you with the appeals process and provide further supporting documentation if needed.

 

Manage Your Prescription at the Pharmacy

 

  • Visit your pharmacy to fill your Victoza prescription. Ensure the pharmacy processes the prescription through Humana to receive the coverage benefit.
  •  

  • If there are issues with coverage at the pharmacy, contact Humana customer service for immediate assistance.

 

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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.

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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.

 

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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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