Does MDwise Cover Jardiance

Explore if MDwise covers Jardiance, understand potential denials, learn coverage options, cost implications without insurance, and get answers to FAQs.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

MDwise Coverage for Jardiance

 

  • MDwise may cover Jardiance, a medication used to manage blood sugar levels in individuals with type 2 diabetes, under certain plans and circumstances.
  •  

  • Coverage generally depends on the specific plan you are enrolled in. Verify if your plan includes prescription drug coverage.
  •  

  • MDwise may require that Jardiance is included in their formulary or may need prior authorization before it is covered.
  •  

 

Basic Rules and Criteria

 

  • Your prescribing physician must deem Jardiance necessary for your diabetes management.
  •  

  • You may need to provide a history of trying other diabetes medications before insurance approval.
  •  

  • MDwise might require doctor documentation supporting the need for Jardiance due to inadequate blood sugar control with other treatments.
  •  

  • Patients might need to adhere to specific usage guidelines as per their health plan's requirements.

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 Jardiance Coverage with MDwise

 

Understand MDwise Plan Types

 

  • Research the specific MDwise plan you are eligible for, as coverage varies between Indiana Medicaid, MDwise Marketplace, and HIP plans. Each plan may have different formularies and covered drug lists.
  •  

  • Consult the member handbook or the MDwise website to identify plans explicitly covering prescription medications like Jardiance.

 

Verify Jardiance Coverage

 

  • Access the current formulary list for your specific MDwise plan. This document will indicate whether Jardiance is covered and under what conditions.
  •  

  • If Jardiance is listed, verify any specific coverage requirements like prior authorization or step therapy protocols.

 

Consult with Your Healthcare Provider

 

  • Discuss whether Jardiance is appropriate for your health condition with your doctor. Ensure they are aware of your coverage with MDwise to facilitate the prescribing process.
  •  

  • Request that your healthcare provider write a prescription, taking into account any special requirements noted in the formulary.

 

Contact MDwise Member Services

 

  • Call MDwise Member Services using the number on your member ID card to confirm your understanding of Jardiance coverage and clarify any doubts.
  •  

  • Ask about necessary documentation or steps you might need to complete before coverage approval, such as submitting a prior authorization form.

 

Submit Required Documentation

 

  • If prior authorization or additional paperwork is required, ensure your healthcare provider submits all necessary documentation to MDwise timely.
  •  

  • Follow up with your provider to confirm that all forms have been correctly submitted.

 

Fill Your Prescription

 

  • Once authorization is granted, take your prescription to a pharmacy that accepts MDwise coverage.
  •  

  • Clarify with the pharmacist that Jardiance is covered under your plan, and inquire about any copayment costs.

 

Monitor Billing Statements

 

  • Review statements from MDwise after filling your prescription to ensure Jardiance was covered as expected.
  •  

  • Contact MDwise directly if you notice discrepancies in billing or unexpected charges related to your Jardiance prescription.

 

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 MDwise Cover Jardiance

Explore if MDwise covers Jardiance, understand potential denials, learn coverage options, cost implications without insurance, and get answers to FAQs.
Curex allergy drops unboxing

Is Jardiance Covered by MDwise

 

MDwise Coverage for Jardiance

 

  • MDwise may cover Jardiance, a medication used to manage blood sugar levels in individuals with type 2 diabetes, under certain plans and circumstances.
  •  

  • Coverage generally depends on the specific plan you are enrolled in. Verify if your plan includes prescription drug coverage.
  •  

  • MDwise may require that Jardiance is included in their formulary or may need prior authorization before it is covered.
  •  

 

Basic Rules and Criteria

 

  • Your prescribing physician must deem Jardiance necessary for your diabetes management.
  •  

  • You may need to provide a history of trying other diabetes medications before insurance approval.
  •  

  • MDwise might require doctor documentation supporting the need for Jardiance due to inadequate blood sugar control with other treatments.
  •  

  • Patients might need to adhere to specific usage guidelines as per their health plan's requirements.

A weight management program tailored to you

Start with Curex

MDwise's Approved Criteria for Jardiance Coverage

 

Eligibility Criteria for Jardiance Coverage

 

  • Patient must have a diagnosis of Type 2 Diabetes Mellitus (T2DM) and be 18 years of age or older.
  •  

  • Jardiance should be prescribed for patients as an adjunct to diet and exercise to improve glycemic control.
  •  

  • Patient must have tried at least one other antidiabetic medication and demonstrated an inadequate response.
  •  

  • Patients with a history of cardiovascular diseases may qualify if Jardiance is prescribed to lower the risk of cardiovascular death.

 

Dosing and Administration Requirements

 

  • The prescribed dose should adhere to the FDA-approved dose for Jardiance for the treatment conditions.
  •  

  • Initial dose recommendations must align with those outlined in the current clinical guidelines for T2DM.
  •  

  • Adjustments to dosage should be justified with clinical evidence or laboratory results demonstrating need or effectiveness.

 

Monitoring and Follow-Up

 

  • Patients should have regular follow-up appointments to monitor glycemic control and assess the efficacy of the treatment.
  •  

  • Periodic reassessment is required to evaluate the benefit in cardiovascular risk reduction when applicable.

 

Documentation Needed for Coverage Approval

 

  • Complete medical records including diagnosis of Type 2 Diabetes Mellitus and any relevant history of cardiovascular disease.
  •  

  • Evidence of previous antidiabetic treatment and its outcomes.
  •  

  • Recommendation and justification from the prescribing healthcare provider.

 

Special Coverage Considerations

 

  • Consideration for coverage may also be given to patients with chronic kidney disease, if they meet other criteria and Jardiance is prescribed to reduce the progression of renal impairment.
  •  

  • Exceptions may apply for specific cases based on a healthcare provider's expert recommendations and supporting clinical evidence.

 

Why MDwise Might Deny Jardiance Coverage

 

Reasons MDwise Might Deny Jardiance Coverage

 

  • Jardiance is not included in the policyholder's specific plan or formulary. Each MDwise plan may have different formulary lists that exclude certain medications.
  •  

  • The prescription does not meet the medical necessity criteria as defined by MDwise. Jardiance may be denied if it is not considered medically necessary for the condition being treated.
  •  

  • There is an availability of a less expensive generic or alternative drug. MDwise may deny coverage for Jardiance if a similar, more cost-effective medication is available and appropriate.
  •  

  • Failure to obtain prior authorization for Jardiance. MDwise may require prior authorization to verify the need for Jardiance before approving its coverage.
  •  

  • The prescribed dosage or quantity exceeds the plan's limits. MDwise may have specific limits on the dosage or amount of Jardiance they will cover within a certain time period.
  •  

  • Improper documentation or missing paperwork supporting the prescription. Coverage for Jardiance may be denied if necessary documentation, such as doctor's notes or trial of alternative therapies, is incomplete or missing.

 

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 MDwise

 

Understand MDwise Plan Types

 

  • Research the specific MDwise plan you are eligible for, as coverage varies between Indiana Medicaid, MDwise Marketplace, and HIP plans. Each plan may have different formularies and covered drug lists.
  •  

  • Consult the member handbook or the MDwise website to identify plans explicitly covering prescription medications like Jardiance.

 

Verify Jardiance Coverage

 

  • Access the current formulary list for your specific MDwise plan. This document will indicate whether Jardiance is covered and under what conditions.
  •  

  • If Jardiance is listed, verify any specific coverage requirements like prior authorization or step therapy protocols.

 

Consult with Your Healthcare Provider

 

  • Discuss whether Jardiance is appropriate for your health condition with your doctor. Ensure they are aware of your coverage with MDwise to facilitate the prescribing process.
  •  

  • Request that your healthcare provider write a prescription, taking into account any special requirements noted in the formulary.

 

Contact MDwise Member Services

 

  • Call MDwise Member Services using the number on your member ID card to confirm your understanding of Jardiance coverage and clarify any doubts.
  •  

  • Ask about necessary documentation or steps you might need to complete before coverage approval, such as submitting a prior authorization form.

 

Submit Required Documentation

 

  • If prior authorization or additional paperwork is required, ensure your healthcare provider submits all necessary documentation to MDwise timely.
  •  

  • Follow up with your provider to confirm that all forms have been correctly submitted.

 

Fill Your Prescription

 

  • Once authorization is granted, take your prescription to a pharmacy that accepts MDwise coverage.
  •  

  • Clarify with the pharmacist that Jardiance is covered under your plan, and inquire about any copayment costs.

 

Monitor Billing Statements

 

  • Review statements from MDwise after filling your prescription to ensure Jardiance was covered as expected.
  •  

  • Contact MDwise directly if you notice discrepancies in billing or unexpected charges related to your Jardiance prescription.

 

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 (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