Does Quartz Health Solutions Cover Benzphetamine (Didrex)

Explore why Quartz Health might deny Benzphetamine coverage, how to secure it, costs without insurance, and get answers to FAQs in this comprehensive guide.
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Quartz Health Solutions Coverage for Benzphetamine (Didrex)

 

  • Benzphetamine (Didrex) is covered by Quartz Health Solutions under their prescription drug coverage plan, but specific coverage may vary depending on the individual policy.
  •  

  • Usually, Benzphetamine is prescribed for the management of obesity as part of a short-term, comprehensive weight reduction regimen.
  •  

  • Coverage generally requires prior authorization, meaning your healthcare provider must prove medical necessity before approval.
  •  

  • The drug may only be covered if certain criteria, such as Body Mass Index (BMI) and the failure of previous weight-loss attempts, are met.
  •  

  • It's essential to review your specific policy documents or consult with Quartz Health Solutions directly for accurate coverage details.
  •  

  • Enrollees may be subject to copayments, coinsurance, or deductibles as outlined in their plans.

 

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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.

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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.

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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 Quartz Health Solutions

 

Check Quartz Health Solutions Formulary

 

  • Visit the Quartz Health Solutions official website to access the formulary list.
  •  

  • Search for Benzphetamine (Didrex) within the list to verify if it's covered under your current plan.
  •  

  • Confirm which tier the medication falls under, as this will impact coverage and copay amounts.

 

Consult with Your Healthcare Provider

 

  • Discuss your need for Benzphetamine (Didrex) with your healthcare provider.
  •  

  • Ensure that your provider is aware that you will be seeking coverage through Quartz Health Solutions.
  •  

  • Request your provider's assistance in submitting any necessary documentation or prescriptions to Quartz.

 

Verify Prior Authorization Requirements

 

  • Check if Benzphetamine (Didrex) requires prior authorization under your Quartz health plan.
  •  

  • Contact Quartz customer service for specific details on prior authorization procedures, if applicable.
  •  

  • Your healthcare provider might need to fill out a prior authorization form or supply additional medical records.

 

Submit a Member Claim Form

 

  • If you're paying out-of-pocket initially, download and complete a member claim form from the Quartz Health Solutions website.
  •  

  • Include all necessary documentation like bills and receipts related to Benzphetamine (Didrex) purchase.
  •  

  • Submit the completed claim form along with documentation to Quartz for reimbursement consideration.

 

Contact Customer Support

 

  • If you encounter any issues or have questions about coverage, reach out to Quartz Health Solutions customer support.
  •  

  • Prepare your member ID and any relevant prescription details before calling to streamline the support process.
  •  

  • Ask for clear explanations on any steps you should take if the initial claim or request is denied.

 

Read Your Health Plan Benefits

 

  • Review the benefits book provided by Quartz Health Solutions to understand your coverage specifics.
  •  

  • Pay attention to any exclusions, additional costs, or annual limits related to prescription medications.
  •  

  • Ensure you are aware of your rights to appeal if the coverage for Benzphetamine (Didrex) is denied.

 

Explore Alternative Treatments

 

  • If coverage for Benzphetamine (Didrex) is not available, consult with your healthcare provider about alternative medications.
  •  

  • Check if these alternative treatments are covered under your Quartz health plan.
  •  

  • Ensure that these alternatives will meet your healthcare needs effectively.

 

Re-evaluate Annually

 

  • Since health plans can change yearly, review your plan during open enrollment periods to ensure continued coverage.
  •  

  • Consider switching plans if necessary to meet your prescription needs better.
  •  

  • Stay informed on any new Quartz offerings or changes that could impact your coverage.

 

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FAQs

Does Quartz Health Solutions Cover Benzphetamine (Didrex)

Explore why Quartz Health might deny Benzphetamine coverage, how to secure it, costs without insurance, and get answers to FAQs in this comprehensive guide.
Curex allergy drops unboxing

Is Benzphetamine (Didrex) Covered by Quartz Health Solutions

 

Quartz Health Solutions Coverage for Benzphetamine (Didrex)

 

  • Benzphetamine (Didrex) is covered by Quartz Health Solutions under their prescription drug coverage plan, but specific coverage may vary depending on the individual policy.
  •  

  • Usually, Benzphetamine is prescribed for the management of obesity as part of a short-term, comprehensive weight reduction regimen.
  •  

  • Coverage generally requires prior authorization, meaning your healthcare provider must prove medical necessity before approval.
  •  

  • The drug may only be covered if certain criteria, such as Body Mass Index (BMI) and the failure of previous weight-loss attempts, are met.
  •  

  • It's essential to review your specific policy documents or consult with Quartz Health Solutions directly for accurate coverage details.
  •  

  • Enrollees may be subject to copayments, coinsurance, or deductibles as outlined in their plans.

 

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Start with Curex

Quartz Health Solutions's Approved Criteria for Benzphetamine (Didrex) Coverage

 

Criteria for Benzphetamine (Didrex) Coverage

 

  • The patient must be diagnosed with exogenous obesity.
  •  

  • The patient's obesity should be causing specific health complications, such as type 2 diabetes, hypertension, or dyslipidemia, warranting pharmacotherapy intervention.
  •  

  • The patient must have a body mass index (BMI) of 30 kg/m² or higher, or a BMI of 27 kg/m² with comorbidities related to obesity.
  •  

  • A documented attempt of non-pharmacological weight loss methods must have been unsuccessful. These attempts should include lifestyle modifications such as a reduced-calorie diet and increased physical activity for at least six months.
  •  

  • The prescribing physician must have provided a detailed plan including dietary guidance, exercise, and behavior modification aimed at long-term weight management.
  •  

  • Routine monitoring by the healthcare provider to assess the effectiveness of the medication and any potential side effects must be in place.
  •  

  • The medication must be prescribed by, or in consultation with, a specialist versed in obesity management, such as an endocrinologist or bariatric physician.
  •  

 

Why Quartz Health Solutions Might Deny Benzphetamine (Didrex) Coverage

 

Instances Where Coverage is Denied for Benzphetamine (Didrex)

 

  • Prescription does not meet FDA-approved indications for use in weight management.
  •  

  • Medication is prescribed for long-term use, exceeding the recommended short-term treatment duration.
  •  

  • Patient has a history of substance abuse, which could increase the risk of dependency on the medication.
  •  

  • Lack of prior authorization or failure to follow established coverage criteria and protocols set by Quartz Health Solutions.
  •  

  • Absence of documented evidence showing failed trials with alternative weight management medications or interventions.
  •  

  • Prescription is issued to a patient under the age of 16, as the medication is not approved for pediatric use.
  •  

  • Insurance policy explicitly excludes coverage for medications categorized as anorectics or appetite suppressants.
  •  

 

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 Quartz Health Solutions

 

Check Quartz Health Solutions Formulary

 

  • Visit the Quartz Health Solutions official website to access the formulary list.
  •  

  • Search for Benzphetamine (Didrex) within the list to verify if it's covered under your current plan.
  •  

  • Confirm which tier the medication falls under, as this will impact coverage and copay amounts.

 

Consult with Your Healthcare Provider

 

  • Discuss your need for Benzphetamine (Didrex) with your healthcare provider.
  •  

  • Ensure that your provider is aware that you will be seeking coverage through Quartz Health Solutions.
  •  

  • Request your provider's assistance in submitting any necessary documentation or prescriptions to Quartz.

 

Verify Prior Authorization Requirements

 

  • Check if Benzphetamine (Didrex) requires prior authorization under your Quartz health plan.
  •  

  • Contact Quartz customer service for specific details on prior authorization procedures, if applicable.
  •  

  • Your healthcare provider might need to fill out a prior authorization form or supply additional medical records.

 

Submit a Member Claim Form

 

  • If you're paying out-of-pocket initially, download and complete a member claim form from the Quartz Health Solutions website.
  •  

  • Include all necessary documentation like bills and receipts related to Benzphetamine (Didrex) purchase.
  •  

  • Submit the completed claim form along with documentation to Quartz for reimbursement consideration.

 

Contact Customer Support

 

  • If you encounter any issues or have questions about coverage, reach out to Quartz Health Solutions customer support.
  •  

  • Prepare your member ID and any relevant prescription details before calling to streamline the support process.
  •  

  • Ask for clear explanations on any steps you should take if the initial claim or request is denied.

 

Read Your Health Plan Benefits

 

  • Review the benefits book provided by Quartz Health Solutions to understand your coverage specifics.
  •  

  • Pay attention to any exclusions, additional costs, or annual limits related to prescription medications.
  •  

  • Ensure you are aware of your rights to appeal if the coverage for Benzphetamine (Didrex) is denied.

 

Explore Alternative Treatments

 

  • If coverage for Benzphetamine (Didrex) is not available, consult with your healthcare provider about alternative medications.
  •  

  • Check if these alternative treatments are covered under your Quartz health plan.
  •  

  • Ensure that these alternatives will meet your healthcare needs effectively.

 

Re-evaluate Annually

 

  • Since health plans can change yearly, review your plan during open enrollment periods to ensure continued coverage.
  •  

  • Consider switching plans if necessary to meet your prescription needs better.
  •  

  • Stay informed on any new Quartz offerings or changes that could impact your coverage.

 

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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.

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.

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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.

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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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