Does Network Health Cover Eliquis

Explore Eliquis coverage by Network Health, reasons for denial, getting coverage, cost without insurance, and FAQs in this detailed guide.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Coverage of Eliquis by Network Health

 

  • Eliquis is generally covered by Network Health if prescribed for approved medical conditions like atrial fibrillation or deep vein thrombosis.
  •  

  • Coverage may depend on the specific plan and formulary; it's essential to review your plan's details.

 

Criteria for Coverage

 

  • A prior authorization could be required to confirm medical necessity. Check your plan's requirements.
  •  

  • Network Health might cover generic alternatives before approving Eliquis.

 

Basic Rules for Coverage

 

  • A licensed healthcare provider must prescribe Eliquis.
  •  

  • Regular plan premiums, copayments, and deductibles might apply.

 

  • Consult Network Health support for precise coverage details tailored to your individual plan.
  • 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 Eliquis Coverage with Network Health

     

    Contact Network Health

     

    • Start by reaching out to Network Health's customer service. You can find the contact information on their official website or through your plan documents.
    •  

    • Inquire about Eliquis coverage specifically, as this may vary based on your health plan details.

     

    Review Your Current Plan

     

    • Locate your current Network Health plan documents to review the prescription coverage details. This information is typically provided in your benefits summary.
    •  

    • Look for any mention of Eliquis or a similar category of medications to see if it is covered under your pharmacy benefits.

     

    Consult with Your Healthcare Provider

     

    • Speak with your doctor or pharmacist about the necessity of Eliquis for your condition. They might provide notes or documentation supporting the medical need for this medication.
    •  

    • Your healthcare provider can assist in justifying the prescription, which may be necessary if Network Health requires prior authorization.

     

    Check for Prior Authorization

     

    • Determine if your plan requires prior authorization for Eliquis. This process involves getting approval from Network Health before the pharmacy can dispense the medication.
    •  

    • If required, work with your healthcare provider to submit the necessary forms and documentation. This may include medical records and a detailed prescription plan.

     

    Explore Financial Assistance Programs

     

    • If Eliquis is not covered or is costly, consider looking into patient assistance programs offered by the medication's manufacturer. This can help lower out-of-pocket costs.
    •  

    • Ask Network Health if they partner with any financial assistance programs or offer discounts for medications like Eliquis.

     

    Appeal a Denial

     

    • If your request for coverage is denied, review the denial letter for specific reasons and guidance on how to file an appeal.
    •  

    • Compose a letter or form, often including additional information provided by your doctor, and submit it to Network Health following the outlined process.

     

    Stay Informed

     

    • Remain up-to-date with any changes to your Network Health plan by reviewing annual notices or updates to your benefits.
    •  

    • Contact customer service periodically with any questions or for clarifications regarding your coverage options and requirements.

     

    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 Network Health Cover Eliquis

    Explore Eliquis coverage by Network Health, reasons for denial, getting coverage, cost without insurance, and FAQs in this detailed guide.
    Curex allergy drops unboxing

    Is Eliquis Covered by Network Health

     

    Coverage of Eliquis by Network Health

     

    • Eliquis is generally covered by Network Health if prescribed for approved medical conditions like atrial fibrillation or deep vein thrombosis.
    •  

    • Coverage may depend on the specific plan and formulary; it's essential to review your plan's details.

     

    Criteria for Coverage

     

    • A prior authorization could be required to confirm medical necessity. Check your plan's requirements.
    •  

    • Network Health might cover generic alternatives before approving Eliquis.

     

    Basic Rules for Coverage

     

    • A licensed healthcare provider must prescribe Eliquis.
    •  

    • Regular plan premiums, copayments, and deductibles might apply.

     

  • Consult Network Health support for precise coverage details tailored to your individual plan.
  • A weight management program tailored to you

    Start with Curex

    Network Health's Approved Criteria for Eliquis Coverage

     

    Eligibility Criteria for Eliquis Coverage

     

    • Documented diagnosis of atrial fibrillation requiring anticoagulation therapy, excluding cases caused by heart valve issues.
    •  

    • History of deep vein thrombosis (DVT) or pulmonary embolism (PE), where Eliquis is necessary for ongoing treatment or prevention of recurrence.
    •  

    • Prescribed Eliquis as a means to reduce stroke risk or systemic embolism in patients diagnosed with non-valvular atrial fibrillation.
    •  

    • Consideration for Eliquis coverage in cases of contraindications to warfarin or documented struggles in maintaining a stable therapeutic INR range with warfarin.

     

    Documentation Requirements

     

    • Provider must submit recent clinical notes detailing the specific indication for Eliquis as aligned with approved criteria.
    •  

    • Submission of previous history with anticoagulation management, including any adverse effects from alternative anticoagulant therapies.
    •  

    • Verification of completed renal function tests to ensure patient suitability for Eliquis therapy based on kidney function.

     

    Other Considerations

     

    • Approval of Eliquis use as part of bridging therapy during the perioperative period, specifically for patients who cannot be sufficiently managed by short-term discontinuation of anticoagulation.
    •  

    • Renewal of Eliquis coverage contingent upon documented evidence of ongoing need and beneficial response to the medication.

     

    Why Network Health Might Deny Eliquis Coverage

     

    Reasons Why Network Health Might Deny Eliquis Coverage

     

    • The prescribed dosage does not align with Network Health's approved dosing recommendations for Eliquis.
    •  

    • Eliquis is not listed as a covered medication under the member's specific plan or formulary.
    •  

    • The patient has not met the necessary prior authorization requirements for Eliquis, such as documentation of previous therapies that failed or were inappropriate.
    •  

    • The patient does not meet the defined medical necessity criteria, such as having a condition for which Eliquis is not deemed necessary or effective.
    •  

    • A more cost-effective alternative medication is deemed appropriate for the patient's condition, in line with step therapy protocols.
    •  

    • The prescription for Eliquis is not issued by an in-network healthcare provider, which might be a requirement for coverage.
    •  

    • The patient has exceeded the quantity limit restrictions put in place for Eliquis, and no exemptions have been approved.
    •  

    • Coverage is denied due to incomplete or incorrect submission of required documentation from the healthcare provider.

     

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

    How Much Does Eliquis Cost without Insurance?

     

    Approximate Cost of Eliquis without Insurance

     

    • The cost of Eliquis, a commonly prescribed blood thinner, can vary based on the pharmacy, location, and any available discounts or coupons. On average, without insurance, Eliquis can cost around $550 to $650 for a 30-day supply.
    •  

    • Some pharmacies or online platforms may offer discounts or generic options that can lower the cost, so it's advisable to shop around. Patients should also inquire about manufacturer coupons or assistance programs that might help reduce the price.
    •  

    • Price comparison tools and websites can be helpful in finding the best available prices for Eliquis in your area.

     

    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 Eliquis Coverage with Network Health

     

    Contact Network Health

     

    • Start by reaching out to Network Health's customer service. You can find the contact information on their official website or through your plan documents.
    •  

    • Inquire about Eliquis coverage specifically, as this may vary based on your health plan details.

     

    Review Your Current Plan

     

    • Locate your current Network Health plan documents to review the prescription coverage details. This information is typically provided in your benefits summary.
    •  

    • Look for any mention of Eliquis or a similar category of medications to see if it is covered under your pharmacy benefits.

     

    Consult with Your Healthcare Provider

     

    • Speak with your doctor or pharmacist about the necessity of Eliquis for your condition. They might provide notes or documentation supporting the medical need for this medication.
    •  

    • Your healthcare provider can assist in justifying the prescription, which may be necessary if Network Health requires prior authorization.

     

    Check for Prior Authorization

     

    • Determine if your plan requires prior authorization for Eliquis. This process involves getting approval from Network Health before the pharmacy can dispense the medication.
    •  

    • If required, work with your healthcare provider to submit the necessary forms and documentation. This may include medical records and a detailed prescription plan.

     

    Explore Financial Assistance Programs

     

    • If Eliquis is not covered or is costly, consider looking into patient assistance programs offered by the medication's manufacturer. This can help lower out-of-pocket costs.
    •  

    • Ask Network Health if they partner with any financial assistance programs or offer discounts for medications like Eliquis.

     

    Appeal a Denial

     

    • If your request for coverage is denied, review the denial letter for specific reasons and guidance on how to file an appeal.
    •  

    • Compose a letter or form, often including additional information provided by your doctor, and submit it to Network Health following the outlined process.

     

    Stay Informed

     

    • Remain up-to-date with any changes to your Network Health plan by reviewing annual notices or updates to your benefits.
    •  

    • Contact customer service periodically with any questions or for clarifications regarding your coverage options and requirements.

     

    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.

    Eliquis FAQ

    What are the side effects of Eliquis?

     

    Common Side Effects of Eliquis

     

    • Mild bleeding or bruising due to its anticoagulant effect.
    • Nausea, which may occur as your body adjusts to the medication.
    • Skin rash or minor allergic reactions.
    • Fatigue or general weakness.

     

    Serious Side Effects

     

    • Severe bleeding, including unusual bleeding from gums, nosebleeds, or heavier than usual menstrual bleeding.
    • Red, pink, or brown urine and black or bloody stools indicating internal bleeding.
    • Severe headache, dizziness, or fainting, which could indicate a bleed in the brain.
    • Signs of anemia, such as pale skin, weakness, or fatigue.

     

    Consult Your Doctor

     

    • Always report any unusual symptoms to your healthcare provider promptly.
    • Seek emergency medical attention for significant bleeding or symptoms of a serious allergic reaction like difficulty breathing.

     

    Is Eliquis a blood thinner?

     

    Is Eliquis a Blood Thinner?

     

    • Yes, Eliquis (apixaban) is a blood thinner, also known as an anticoagulant.
    •  

    • It prevents blood clots by inhibiting Factor Xa, which is crucial in the clotting process.
    •  

    • Doctors prescribe Eliquis to reduce stroke risk in patients with atrial fibrillation and to treat or prevent deep vein thrombosis (DVT) and pulmonary embolism (PE).
    •  

    • Ensure regular monitoring and follow-ups with your healthcare provider while on Eliquis for safe management.
    •  

    • Contact a healthcare professional if you have concerns about bleeding risks or interactions with other medications.

     

    Can you take Eliquis with alcohol?

     

    Alcohol and Eliquis Interaction

     

    • Moderate alcohol consumption might be safe, but heavy drinking can increase bleeding risk.
    •  

    • Consult your healthcare provider to assess your specific condition and alcohol tolerance.

     

    Potential Effects of Combining

     

    • Both Eliquis and alcohol affect blood clotting, raising potential for heightened bleeding.
    •  

    • Alcohol can augment Eliquis' effects, complicating the management of conditions like atrial fibrillation.

     

    Recommendations for Use

     

    • If you drink, limit to one or two standard drinks occasionally and monitor for bruising or bleeding.
    •  

    • Report any unusual symptoms to your healthcare provider immediately.

     

    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