Does Priority Health Cover Benzphetamine (Didrex)

Discover if Priority Health covers Benzphetamine, learn coverage tips, costs without insurance, and find answers in this comprehensive guide.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Does Priority Health Cover Benzphetamine (Didrex)

 

  • Coverage for Benzphetamine (Didrex) under Priority Health varies depending on your specific health plan. Typically, it may be covered under prescription benefits for those with medical necessity for weight management.
  •  

  • You must meet certain criteria, such as having a BMI over a specified threshold or a co-existing health condition related to obesity.
  •  

  • Getting coverage often requires prior authorization, where proof of necessity and previous treatment attempts with lifestyle changes or other medications are documented.
  •  

  • Your healthcare provider needs to submit proper documentation to support the need for Benzphetamine as part of your treatment plan.
  •  

  • It's advisable to contact Priority Health directly for detailed information based on your plan and current health needs.

 

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 Benzphetamine (Didrex) Coverage with Priority Health

 

Initial Preparation

 

  • Verify your eligibility for prescription drug coverage under your Priority Health plan. Review your policy documents or contact customer service for details.
  • Compile necessary documents, including your Priority Health membership information and any relevant medical records that support the need for Benzphetamine (Didrex).

 

Consult Your Healthcare Provider

 

  • Schedule a consultation with your healthcare provider to discuss your condition and the necessity of Benzphetamine (Didrex) for your treatment.
  • Request your provider to prepare a detailed letter of medical necessity that outlines why Benzphetamine is crucial for your treatment plan.

 

Review Priority Health's Drug Formulary

 

  • Access Priority Health's online drug formulary to check if Benzphetamine (Didrex) is listed. This will help to understand its coverage status before proceeding.
  • If Benzphetamine is not listed in the preferred drugs, prepare to initiate a formulary exception request with supporting documentation.

 

Complete the Prior Authorization Process

 

  • Contact Priority Health's prior authorization department to initiate the process. This might require filling out specific forms and providing detailed medical evidence.
  • Ensure that your healthcare provider submits all required documentation promptly, including the letter of medical necessity and any additional test results or medical history needed to support your case.

 

Submit a Formulary Exception Request (if necessary)

 

  • If Benzphetamine is not covered, request your provider to complete and submit a formulary exception request on your behalf.
  • Provide any detailed explanations of previous treatments that were ineffective or contraindicated, bolstering the case for this specific medication.

 

Follow Up and Appeal if Needed

 

  • After submission, regularly follow up with Priority Health to check the status of your request. Keep a log of communication and responses.
  • If the request is denied, review the reason for denial, and consider filing an appeal with additional supporting documentation or a revised justification from your healthcare provider.

 

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 Priority Health Cover Benzphetamine (Didrex)

Discover if Priority Health covers Benzphetamine, learn coverage tips, costs without insurance, and find answers in this comprehensive guide.
Curex allergy drops unboxing

Is Benzphetamine (Didrex) Covered by Priority Health

 

Does Priority Health Cover Benzphetamine (Didrex)

 

  • Coverage for Benzphetamine (Didrex) under Priority Health varies depending on your specific health plan. Typically, it may be covered under prescription benefits for those with medical necessity for weight management.
  •  

  • You must meet certain criteria, such as having a BMI over a specified threshold or a co-existing health condition related to obesity.
  •  

  • Getting coverage often requires prior authorization, where proof of necessity and previous treatment attempts with lifestyle changes or other medications are documented.
  •  

  • Your healthcare provider needs to submit proper documentation to support the need for Benzphetamine as part of your treatment plan.
  •  

  • It's advisable to contact Priority Health directly for detailed information based on your plan and current health needs.

 

A weight management program tailored to you

Start with Curex

Priority Health's Approved Criteria for Benzphetamine (Didrex) Coverage

 

Approved Criteria for Benzphetamine (Didrex) Coverage

 

  • The patient must be diagnosed with exogenous obesity.
  •  

  • The patient should have a body mass index (BMI) of 30 kg/m² or higher, or a BMI of 27 kg/m² or higher with associated comorbidities (e.g., hypertension, diabetes).
  •  

  • The patient has attempted weight loss through lifestyle modifications (diet and exercise) without sufficient success.
  •  

  • Documentation of lifestyle changes and outcomes must be provided along with the request for coverage.
  •  

  • The prescription must be written by or in consultation with a specialist in obesity management or endocrinology.
  •  

  • Coverage requests should demonstrate the expected benefits and justification for using Benzphetamine in the specific patient case.
  •  

  • The patient's age should be 17 or older, as Benzphetamine is not approved for pediatric patients under 17.
  •  

  • The patient must not have a history of hypersensitivity to sympathomimetic amines or other contraindicated conditions.
  •  

  • There is a documented plan for regular follow-up and monitoring of the patient’s progress while on Benzphetamine.
  •  

  • Documentation of understanding and discussion with the patient regarding the potential side effects and risks associated with Benzphetamine usage.
  •  

  • There must be no concurrent use of similar pharmacotherapy medications to ensure no adverse drug interactions.

 

Why Priority Health Might Deny Benzphetamine (Didrex) Coverage

 

Benzphetamine (Didrex) Coverage Denial Reasons

 

  • Use of Benzphetamine is not consistent with FDA-approved indications or Priority Health's clinical guidelines, leading to potential denial of coverage.
  •  

  • The medication is prescribed for off-label uses that are not supported by strong clinical evidence or national guidelines, which might result in denial.
  •  

  • The patient does not meet the specific age or diagnostic criteria set by Priority Health for coverage of Benzphetamine.
  •  

  • There is a lack of documentation or evidence supporting the necessity of Benzphetamine, such as a comprehensive evaluation for obesity treatment.
  •  

  • Failure to demonstrate previous attempts of weight management strategies, including lifestyle interventions, alternative pharmacotherapies, or behavioral therapy, could lead to denial.
  •  

  • Certain comorbid conditions or contraindications, as identified by Priority Health, that are present in the patient's health status may prevent coverage.
  •  

  • The prescribed dosage exceeds the maximum limit or duration specified by the health plan without proper justification, leading to potential denial.
  •  

  • No prior authorization was obtained where required by the health plan's policy, resulting in a denial for lack of pre-approval.

 

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

How Much Does Benzphetamine (Didrex) Cost without Insurance?

 

Understanding Benzphetamine (Didrex) Cost

 

  • Benzphetamine, commonly known by the brand name Didrex, is a prescription medication used as a short-term adjunct in weight reduction therapy.
  •  

  • The cost of Benzphetamine without insurance can vary significantly depending on the pharmacy and the dosage prescribed.
  •  

  • On average, the cost for a 30-day supply of Benzphetamine (50 mg tablets) can range from $40 to $70.
  •  

  • Prices may be higher or lower, depending on location, pharmacy pricing policies, and available discounts or coupons.
  •  

  • Pharmacy discount programs and generic versions of the drug may offer cost savings.

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 Benzphetamine (Didrex) Coverage with Priority Health

 

Initial Preparation

 

  • Verify your eligibility for prescription drug coverage under your Priority Health plan. Review your policy documents or contact customer service for details.
  • Compile necessary documents, including your Priority Health membership information and any relevant medical records that support the need for Benzphetamine (Didrex).

 

Consult Your Healthcare Provider

 

  • Schedule a consultation with your healthcare provider to discuss your condition and the necessity of Benzphetamine (Didrex) for your treatment.
  • Request your provider to prepare a detailed letter of medical necessity that outlines why Benzphetamine is crucial for your treatment plan.

 

Review Priority Health's Drug Formulary

 

  • Access Priority Health's online drug formulary to check if Benzphetamine (Didrex) is listed. This will help to understand its coverage status before proceeding.
  • If Benzphetamine is not listed in the preferred drugs, prepare to initiate a formulary exception request with supporting documentation.

 

Complete the Prior Authorization Process

 

  • Contact Priority Health's prior authorization department to initiate the process. This might require filling out specific forms and providing detailed medical evidence.
  • Ensure that your healthcare provider submits all required documentation promptly, including the letter of medical necessity and any additional test results or medical history needed to support your case.

 

Submit a Formulary Exception Request (if necessary)

 

  • If Benzphetamine is not covered, request your provider to complete and submit a formulary exception request on your behalf.
  • Provide any detailed explanations of previous treatments that were ineffective or contraindicated, bolstering the case for this specific medication.

 

Follow Up and Appeal if Needed

 

  • After submission, regularly follow up with Priority Health to check the status of your request. Keep a log of communication and responses.
  • If the request is denied, review the reason for denial, and consider filing an appeal with additional supporting documentation or a revised justification from your healthcare provider.

 

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.

Benzphetamine (Didrex) FAQ

What are the side effects of Benzphetamine (Didrex)?

 

Common Side Effects

 

  • Insomnia
  • Nervousness
  • Dizziness
  • Dry Mouth
  • Headache
  • Constipation

 

Severe Side Effects

 

  • Increased Blood Pressure
  • Heart Palpitations
  • Seizures
  • Severe Mood Changes
  • Chest Pain
  • Breathing Difficulties

 

Important Considerations

 

  • If you experience severe side effects, seek medical attention immediately.
  • Use cautiously if you have a history of cardiovascular conditions.
  • Avoid usage in individuals with a history of drug abuse.
  • Always follow the prescribed dosage to minimize risks.
  • Inform your doctor of any existing health conditions or medications.

 

How does Benzphetamine help with weight loss?

 

Mechanism of Action

 

  • Benzphetamine is an appetite suppressant. It stimulates the central nervous system, which increases heart rate and blood pressure.
  •  
  • This leads to a reduced appetite and a feeling of fullness, helping individuals to control their caloric intake.

 

Usage Guidelines

 

  • It should be used as part of a comprehensive weight loss plan, including diet, exercise, and behavioral modification.
  •  
  • Typically prescribed for short-term use to jump-start weight loss efforts.

 

Precautions

 

  • Not suitable for individuals with a history of cardiovascular diseases, hyperthyroidism, or glaucoma.
  •  
  • It may cause side effects such as insomnia, dizziness, and dry mouth.

Is Benzphetamine similar to Phentermine?

 

Similarity between Benzphetamine and Phentermine

 

  • Benzphetamine (Didrex) and Phentermine are both stimulant medications primarily used to treat obesity.
  •  

  • They function as appetite suppressants by affecting the central nervous system.
  •  

  • Both are chemically related to amphetamines but are not classified as amphetamines themselves.

 

Differences

 

  • Benzphetamine is a prodrug and metabolizes into amphetamine and methamphetamine, while Phentermine does not convert into amphetamine derivatives.
  •  

  • Phentermine is generally preferred due to a more established safety profile and fewer side effects compared to Benzphetamine.
  •  

  • Phentermine is typically dosed once daily, whereas Benzphetamine might require multiple doses.

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