Does Quartz Health Solutions Cover Eliquis

Explore Eliquis coverage with Quartz Health: reasons for denial, steps to secure coverage, cost without insurance, and FAQs for informed healthcare decisions.
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Does Quartz Health Solutions Cover Eliquis?

 

  • Eliquis is typically covered under certain plans offered by Quartz Health Solutions. Coverage may vary based on your specific health plan and policy details.
  •  

  • Coverage situations often include conditions like atrial fibrillation, deep vein thrombosis, and pulmonary embolism, for which Eliquis is prescribed as a blood thinner.
  •  

  • To get Eliquis covered, patients usually must meet certain criteria, such as having a diagnosis that aligns with the medication's approved use.
  •  

  • Pre-authorization might be required, meaning your healthcare provider must verify the necessity of Eliquis based on your medical condition.
  •  

  • Co-pays or coinsurance could apply depending on your plan, and using in-network pharmacies may reduce your costs.
  •  

  • It's vital to check with Quartz Health Solutions directly for the most accurate and personalized coverage details related to your plan.

 

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Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Eliquis Coverage with Quartz Health Solutions

 

Check Your Quartz Health Plan for Prescription Coverage

 

  • Access your Quartz Health Solutions member portal or review the physical copy of your plan documents. Look for information on prescription drug coverage.
  •  

  • If available, check the formulary list. This is a list of medications covered by your plan, including those requiring prior authorization.

 

Contact Quartz Health Solutions’ Customer Service

 

  • Call the customer service number provided on your member ID card to get assistance regarding your prescription coverage specifics.
  •  

  • Inquire about the specific coverage for Eliquis, including any potential requirements or restrictions, such as prior authorizations or step therapy.

 

Discuss with Your Healthcare Provider

 

  • Schedule a consultation with your healthcare provider to discuss your need for Eliquis and the possibility of obtaining a prescription.
  •  

  • Inform them of your insurance details and the importance of Eliquis to your treatment, so they can help with any necessary documentation.

 

Submit Necessary Documentation and Requests

 

  • If a prior authorization is required, work with your healthcare provider to complete the necessary forms and submit them to Quartz Health Solutions.
  •  

  • Ensure your provider outlines clear medical justifications for using Eliquis in your treatment plan, which may facilitate approval from the insurance company.

 

Follow Up on Your Request

 

  • Regularly check the status of your prior authorization request by contacting Quartz Health Solutions either through their member portal or by phone.
  •  

  • If denied, request a detailed explanation and explore options for appeal or alternative solutions with your healthcare provider.

 

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FAQs

Does Quartz Health Solutions Cover Eliquis

Explore Eliquis coverage with Quartz Health: reasons for denial, steps to secure coverage, cost without insurance, and FAQs for informed healthcare decisions.
Curex allergy drops unboxing

Is Eliquis Covered by Quartz Health Solutions

 

Does Quartz Health Solutions Cover Eliquis?

 

  • Eliquis is typically covered under certain plans offered by Quartz Health Solutions. Coverage may vary based on your specific health plan and policy details.
  •  

  • Coverage situations often include conditions like atrial fibrillation, deep vein thrombosis, and pulmonary embolism, for which Eliquis is prescribed as a blood thinner.
  •  

  • To get Eliquis covered, patients usually must meet certain criteria, such as having a diagnosis that aligns with the medication's approved use.
  •  

  • Pre-authorization might be required, meaning your healthcare provider must verify the necessity of Eliquis based on your medical condition.
  •  

  • Co-pays or coinsurance could apply depending on your plan, and using in-network pharmacies may reduce your costs.
  •  

  • It's vital to check with Quartz Health Solutions directly for the most accurate and personalized coverage details related to your plan.

 

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Quartz Health Solutions's Approved Criteria for Eliquis Coverage

 

Eligibility Criteria for Eliquis Coverage

 

  • Patient must have a diagnosis of non-valvular atrial fibrillation (AF) for stroke prevention purposes needed.
  •  

  • Authorization is granted if the patient has a history of deep vein thrombosis (DVT) or pulmonary embolism (PE) and requires continued anticoagulation.
  •  

  • The patient should have a confirmed need for reducing the risk of recurrence of DVT and PE following initial therapy.
  •  

  • Coverage is provided for patients requiring prophylaxis of DVT, which may lead to PE, following hip or knee replacement surgery.
  •  

  • Eliquis is approved for patients aged 18 or older who are adhering to specific clinical guidelines and have a qualifying condition.

 

Prior Authorization Requirements

 

  • A completed and approved prior authorization form must be submitted by the prescribing healthcare provider.
  •  

  • Documentation should include previous treatment history and rationale for choosing Eliquis over other anticoagulants.
  •  

  • Updated records of recent medical examinations, lab results, or any relevant test findings that support the use of Eliquis.

 

Required Dosage and Administration

 

  • Prescriptions must align with the FDA-approved dosing guidelines for the specific indications Eliquis is being prescribed for.
  •  

  • Adjustments or specific dosing regimens must be documented by healthcare professionals when there are notable risk factors or contraindications.

 

Continued Coverage Criteria

 

  • Documentation of regular follow-up appointments is necessary to ensure the ongoing appropriateness and safety of the medication.
  •  

  • A reassessment of the patient’s condition and treatment plan should be conducted at intervals specified by Quartz Health Solutions.
  •  

  • Compliance with medication adherence programs and guidelines is required to maintain coverage.

 

Why Quartz Health Solutions Might Deny Eliquis Coverage

 

Reasons Quartz Health Solutions Might Deny Eliquis Coverage

 

  • The medication is not deemed medically necessary as determined by Quartz’s clinical guidelines and policies.
  •  

  • Prescriptions from healthcare providers outside the established network of Quartz-approved professionals may not be honored.
  •  

  • Eliquis is being prescribed for a condition or diagnosis that is not approved under Quartz’s coverage criteria.
  •  

  • The patient has not attempted or documented failure of first-line therapy or preferred alternatives that are required by the insurance plan.
  •  

  • Lack of prior authorization or pre-certification where such processes are mandated for Eliquis coverage.
  •  

  • The prescription exceeds the allowed dosage or quantity limits set by Quartz Health Solutions.
  •  

  • Continuation of therapy without evidence of positive outcomes as outlined by Quartz’s ongoing evaluation processes.
  •  

  • The prescription is considered part of a clinical trial or investigational use, which Quartz Health Solutions does not cover.

 

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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 Quartz Health Solutions

 

Check Your Quartz Health Plan for Prescription Coverage

 

  • Access your Quartz Health Solutions member portal or review the physical copy of your plan documents. Look for information on prescription drug coverage.
  •  

  • If available, check the formulary list. This is a list of medications covered by your plan, including those requiring prior authorization.

 

Contact Quartz Health Solutions’ Customer Service

 

  • Call the customer service number provided on your member ID card to get assistance regarding your prescription coverage specifics.
  •  

  • Inquire about the specific coverage for Eliquis, including any potential requirements or restrictions, such as prior authorizations or step therapy.

 

Discuss with Your Healthcare Provider

 

  • Schedule a consultation with your healthcare provider to discuss your need for Eliquis and the possibility of obtaining a prescription.
  •  

  • Inform them of your insurance details and the importance of Eliquis to your treatment, so they can help with any necessary documentation.

 

Submit Necessary Documentation and Requests

 

  • If a prior authorization is required, work with your healthcare provider to complete the necessary forms and submit them to Quartz Health Solutions.
  •  

  • Ensure your provider outlines clear medical justifications for using Eliquis in your treatment plan, which may facilitate approval from the insurance company.

 

Follow Up on Your Request

 

  • Regularly check the status of your prior authorization request by contacting Quartz Health Solutions either through their member portal or by phone.
  •  

  • If denied, request a detailed explanation and explore options for appeal or alternative solutions with your healthcare provider.

 

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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.

 

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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.

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