Does Regence Cover Chantix

Explore Regence's Chantix coverage, denial reasons, costs without insurance, and FAQs to navigate your Rx benefits and find out how to get coverage.
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Regence Coverage for Chantix

 

  • Regence generally covers Chantix, a medication prescribed to help people quit smoking, under their prescription drug benefits.
  •  

  • Eligibility for coverage typically requires a doctor's prescription and a prior attempt to use non-drug cessation methods.
  •  

  • Members may need to enroll in a smoking cessation program that includes behavioral support as part of coverage conditions.
  •  

  • There's usually a limit on the duration of coverage, often up to 12 weeks, to ascertain the medication's effectiveness.
  •  

  • Prior authorization might be necessary, where a physician submits documentation to justify the need for Chantix over other alternatives.
  •  

  • Check your specific Regence plan details, as co-pays and coverage levels can vary based on individual plans.

 

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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 Chantix Coverage with Regence

 

Check Your Policy Details

 

  • Log into your Regence member account to check the terms and conditions of your current policy. Determine whether prescription medication like Chantix is covered under your plan.
  •  

  • If you are unsure about accessing your policy documents online, you can call Regence customer support for assistance and clarification.

 

Consult Your Healthcare Provider

 

  • Schedule an appointment with your healthcare provider to discuss your need for Chantix. Your provider must evaluate your health needs and confirm that Chantix is the appropriate medication for you.
  •  

  • Request a prescription for Chantix from your healthcare provider if they agree with the assessment.

 

Verify Prescription Coverage

 

  • Contact Regence customer service to verify that Chantix is included in your prescription drug coverage. Be ready to provide details about your policy number and the prescribed medication.
  •  

  • Inquire if there are any specific conditions or requirements you must meet. This could include pre-authorization or step therapy protocols.

 

Obtain Necessary Authorizations

 

  • If required, ask your healthcare provider to submit a prior authorization request to Regence. This may be necessary if Chantix is not directly covered without prior approval.
  •  

  • Follow up with both your provider and Regence to ensure the authorization is processed promptly.

 

Visit an In-Network Pharmacy

 

  • Take your Chantix prescription to a pharmacy that is within Regence's network to ensure maximum coverage and avoid unnecessary out-of-pocket expenses.
  •  

  • Show your Regence insurance card and provide any necessary documentation or approval letters from the prior authorization process at the pharmacy.

 

Review the Process Regularly

 

  • Stay informed about any changes in your Regence policy or coverage options, as prescription drug coverage can change and affect your Chantix coverage.
  •  

  • Contact Regence or your healthcare provider if you experience any issues with coverage, dosage, or the medication itself.

 

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FAQs

Does Regence Cover Chantix

Explore Regence's Chantix coverage, denial reasons, costs without insurance, and FAQs to navigate your Rx benefits and find out how to get coverage.
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Is Chantix Covered by Regence

 

Regence Coverage for Chantix

 

  • Regence generally covers Chantix, a medication prescribed to help people quit smoking, under their prescription drug benefits.
  •  

  • Eligibility for coverage typically requires a doctor's prescription and a prior attempt to use non-drug cessation methods.
  •  

  • Members may need to enroll in a smoking cessation program that includes behavioral support as part of coverage conditions.
  •  

  • There's usually a limit on the duration of coverage, often up to 12 weeks, to ascertain the medication's effectiveness.
  •  

  • Prior authorization might be necessary, where a physician submits documentation to justify the need for Chantix over other alternatives.
  •  

  • Check your specific Regence plan details, as co-pays and coverage levels can vary based on individual plans.

 

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Regence's Approved Criteria for Chantix Coverage

 

Eligibility Criteria for Chantix Coverage

 

  • Chantix coverage is approved for members meeting the age requirement, specifically individuals who are 18 years of age or older.
  •  

  • Members must have a documented history of tobacco use and display a commitment to quitting smoking, as evidenced by enrollment in a structured smoking cessation program.

 

Prescription and Duration

 

  • A valid prescription for Chantix must be provided by a qualified healthcare provider.
  •  

  • Initial approval for Chantix coverage is granted for a period of 12 weeks, based on the clinical guidelines for smoking cessation.

 

Continuation Criteria

 

  • Continued coverage may be considered if there is evidence of significant progress in the smoking cessation efforts, as assessed by the prescribing healthcare provider.
  •  

  • Documentation from follow-up appointments demonstrating reduction in cigarette use or successful quitting is required for additional approval periods.

 

Combination Therapy

 

  • Chantix may be covered for use in conjunction with behavioral therapy, enhancing the likelihood of successful smoking cessation.
  •  

  • Members must engage in smoking cessation counseling sessions as part of the combination therapy to receive ongoing coverage for Chantix.

 

Why Regence Might Deny Chantix Coverage

 

Reasons Regence Might Deny Chantix Coverage

 

  • Chantix is considered a non-formulary medication. Regence might exclude it from your specific health plan's formulary, meaning it is not covered under your list of approved drugs.
  •  

  • The prescription of Chantix does not meet the specific medical necessity criteria set by Regence. If your case does not align with their defined criteria for necessity, coverage may be denied.
  •  

  • Absence of prior authorization. If Regence requires prior authorization for Chantix but it is not obtained, this could lead to denial of coverage.
  •  

  • Failure to meet step therapy requirements. If Regence has designated other treatment options to be tried first and Chantix is not part of this initial treatment protocol, approval might be withheld.
  •  

  • Coverage exclusion in your specific policy. Chantix may be listed as a non-covered medication under your individual health plan based on its terms or exclusions.

 

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How Much Does Chantix Cost without Insurance?

 

Chantix Cost without Insurance

 

  • The cost of Chantix, a medication used to help adults stop smoking, can vary depending on the pharmacy and location. However, without insurance, the average price for a month's supply of Chantix is typically between $400 to $500.
  •  

  • Discounts or coupons may be available through certain pharmacies or websites, which can lower the out-of-pocket cost for those without insurance.
  •  

  • It's important to check with individual pharmacies for the most accurate pricing, as costs can differ significantly. Consider asking if they offer any in-house saving programs or discounts for cash payments.

 

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 Chantix Coverage with Regence

 

Check Your Policy Details

 

  • Log into your Regence member account to check the terms and conditions of your current policy. Determine whether prescription medication like Chantix is covered under your plan.
  •  

  • If you are unsure about accessing your policy documents online, you can call Regence customer support for assistance and clarification.

 

Consult Your Healthcare Provider

 

  • Schedule an appointment with your healthcare provider to discuss your need for Chantix. Your provider must evaluate your health needs and confirm that Chantix is the appropriate medication for you.
  •  

  • Request a prescription for Chantix from your healthcare provider if they agree with the assessment.

 

Verify Prescription Coverage

 

  • Contact Regence customer service to verify that Chantix is included in your prescription drug coverage. Be ready to provide details about your policy number and the prescribed medication.
  •  

  • Inquire if there are any specific conditions or requirements you must meet. This could include pre-authorization or step therapy protocols.

 

Obtain Necessary Authorizations

 

  • If required, ask your healthcare provider to submit a prior authorization request to Regence. This may be necessary if Chantix is not directly covered without prior approval.
  •  

  • Follow up with both your provider and Regence to ensure the authorization is processed promptly.

 

Visit an In-Network Pharmacy

 

  • Take your Chantix prescription to a pharmacy that is within Regence's network to ensure maximum coverage and avoid unnecessary out-of-pocket expenses.
  •  

  • Show your Regence insurance card and provide any necessary documentation or approval letters from the prior authorization process at the pharmacy.

 

Review the Process Regularly

 

  • Stay informed about any changes in your Regence policy or coverage options, as prescription drug coverage can change and affect your Chantix coverage.
  •  

  • Contact Regence or your healthcare provider if you experience any issues with coverage, dosage, or the medication itself.

 

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Chantix FAQ

What are the side effects of Chantix?

 

Common Side Effects of Chantix

 

  • Nausea, which is often dose-related and may decrease over time.
  • Insomnia or abnormal dreams, such as vivid or unusual dreams.
  • Constipation and gas due to changes in the digestive process.
  • Headaches, a frequent but generally mild occurrence.

 

Less Frequent but Serious Side Effects

 

  • Mood changes like depression or anxiety, warranting immediate medical attention.
  • Seizures, although rare, can occur and should be immediately addressed.
  • Heart issues, including an increased risk of cardiovascular events.

 

Additional Precautions

 

  • Monitor for allergic reactions, such as rash, itching, or swelling.
  • Use caution when consuming alcohol, as interactions might increase intoxication.
  • Consult a healthcare provider before use if there is a history of mental health issues.

 

How does Chantix help you quit smoking?

 

How Chantix Works

 

  • Chantix (varenicline) binds to nicotine receptors, reducing cravings by partially stimulating dopamine release to lessen withdrawal symptoms.
  •  

  • It acts as a partial agonist and antagonist, effectively blocking nicotine receptors; hence, smoking provides less pleasure.

 

Effective Usage

 

  • Start Chantix a week before quitting smoking to allow it to build up in your system.
  •  

  • Follow the prescribed plan: typically 0.5 mg once daily for three days, then twice daily, increasing to 1 mg twice daily.

 

Combine with Support

 

  • Chantix is more effective when used alongside behavioral support and counseling.
  •  

  • Seek support from healthcare providers or quit lines to enhance success rates.

 

Is Chantix available over the counter?

 

Is Chantix Available Over the Counter?

 

  • Chantix, known generically as varenicline, is a prescription medication. It is not available over-the-counter (OTC) in the United States. You will need a prescription from a healthcare provider to obtain it.
  •  

  • This medication is primarily used to help people quit smoking by reducing withdrawal symptoms and cigarette cravings.
  •  

  • Availability can vary by country, so it’s important to check local regulations regarding prescription requirements.
  •  

  • Always consult a healthcare professional before starting Chantix to understand potential side effects and interactions with other medications you may be taking.

 

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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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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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