Does Regence Cover Lipitor

Explore why Regence might deny Lipitor, how to secure coverage, costs without insurance, and answers to common questions in our Lipitor coverage guide.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Regence Coverage for Lipitor

 

  • Regence typically covers Lipitor for approved medical conditions, primarily for the management of high cholesterol and cardiovascular disease.
  •  

  • Coverage is often subject to formulary restrictions, meaning Lipitor must be on the preferred drug list, though alternatives may be recommended.
  •  

  • Patients may need to provide evidence of medical necessity or attempt treatment with generic equivalents before approval.
  •  

  • Prior authorization might be required, ensuring that Lipitor is prescribed for FDA-approved indications and under appropriate medical guidelines.
  •  

  • Beneficiaries should check specific terms in their policy as coverage can vary based on the plan and the employer specifics.

 

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 Lipitor Coverage with Regence

 

Check Your Current Coverage

 

  • Log in to your Regence member account on their website or mobile app to review your current prescription drug coverage.
  •  

  • Examine your policy details to see if Lipitor (Atorvastatin) is listed as a covered medication.

 

Contact Customer Service

 

  • Call the Regence customer service number on your insurance card to clarify if Lipitor is covered under your specific plan, as formularies can differ between plans.
  •  

  • Ask the representative about any preferred pharmacies or necessary forms for coverage determination.

 

Consult with Your Doctor

 

  • Arrange a meeting with your healthcare provider to discuss your need for Lipitor and explore whether there are alternative medications on the Regence formulary with similar efficacy.
  •  

  • Request your doctor to provide medical documentation that justifies the necessity of Lipitor, in case it's required for a coverage exception.

 

Obtain Prior Authorization

 

  • If Lipitor is not readily covered, inquire with Regence about the possibility of obtaining prior authorization for the medication.
  •  

  • Work with your physician to complete and submit any necessary documentation or forms required to get prior authorization approval from Regence.

 

Use the Regence Pharmacy Network

 

  • Confirm with Regence whether specific pharmacy networks are required for full coverage of Lipitor. Using in-network pharmacies can sometimes lead to lower out-of-pocket costs.
  •  

  • Fill your prescription at these specified pharmacies to ensure you receive the maximum benefit coverage.

 

Explore Assistance Programs

 

  • Research and apply for any available assistance programs that might help bridge the coverage gap for Lipitor, such as patient assistance programs offered by the manufacturer.
  •  

  • Communicate with Regence to see if they offer any additional resources or support for expensive medications.

 

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 Regence Cover Lipitor

Explore why Regence might deny Lipitor, how to secure coverage, costs without insurance, and answers to common questions in our Lipitor coverage guide.
Curex allergy drops unboxing

Is Lipitor Covered by Regence

 

Regence Coverage for Lipitor

 

  • Regence typically covers Lipitor for approved medical conditions, primarily for the management of high cholesterol and cardiovascular disease.
  •  

  • Coverage is often subject to formulary restrictions, meaning Lipitor must be on the preferred drug list, though alternatives may be recommended.
  •  

  • Patients may need to provide evidence of medical necessity or attempt treatment with generic equivalents before approval.
  •  

  • Prior authorization might be required, ensuring that Lipitor is prescribed for FDA-approved indications and under appropriate medical guidelines.
  •  

  • Beneficiaries should check specific terms in their policy as coverage can vary based on the plan and the employer specifics.

 

A weight management program tailored to you

Start with Curex

Regence's Approved Criteria for Lipitor Coverage

 

Eligibility Criteria for Lipitor Coverage

 

  • The patient must have a diagnosis of hypercholesterolemia, dyslipidemia, or cardiovascular disease that is responsive to statin therapy.
  •  

  • The patient has tried lifestyle modifications, such as diet and exercise, but these have not sufficiently controlled cholesterol levels.
  •  

  • Lipitor is covered for patients who have a high risk of coronary heart disease and require aggressive lipid lowering.

 

Special Considerations

 

  • For patients with a history of statin intolerance or contraindications to other statins, Lipitor may be prescribed as an alternative after evaluation.
  •  

  • Patients with familial hypercholesterolemia are eligible for coverage when Lipitor is deemed necessary by a healthcare provider.

 

Dosage and Administration Requirements

 

  • Lipitor must be prescribed at dosages approved by the Food and Drug Administration (FDA) for the treatment of hypercholesterolemia or related conditions.
  •  

  • The prescription must be filled according to the recommended duration of treatment as indicated by the healthcare provider.

 

Monitoring and Ongoing Evaluation

 

  • Continued coverage of Lipitor requires evidence of regular monitoring of lipid levels, assessing treatment adherence and effectiveness.
  •  

  • The healthcare provider must document the continued need for Lipitor based on patient outcomes and adjustments in therapy if necessary.

 

Why Regence Might Deny Lipitor Coverage

 

Situations Where Regence May Deny Lipitor Coverage

 

  • Lipitor is being used for an off-label indication that is not supported by sufficient clinical evidence or guidelines.
  •  

  • The patient has not met the required clinical criteria, such as specific cholesterol levels or a documented history of cardiovascular disease, according to their policy documentation.
  •  

  • The prescription is being requested too soon after a previous prescription refill, indicating potential overuse or duplication of therapy.
  •  

  • The patient has not attempted first-line treatments or alternative therapies that are considered equally effective and more cost-effective.
  •  

  • The medication request comes from a prescriber who is not within the Regence network or lacks the appropriate licensure or credentials as required by the plan.
  •  

  • The patient's plan does not include Lipitor in their formulary, meaning it is not listed as a covered drug under their specific insurance plan.
  •  

  • There may be exclusions based on specific benefit plan coverage limitations or caps on pharmacy benefits that have been exceeded by the patient.

 

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

How Much Does Lipitor Cost without Insurance?

 

Cost of Lipitor Without Insurance

 

  • Lipitor, known generically as atorvastatin, is a medication used to lower cholesterol. The cost of Lipitor can vary widely depending on various factors including the pharmacy, location, and dosage strength. On average, the price can range from approximately $100 to $500 for a 30-day supply, if you are paying out of pocket without insurance coverage.
  •  

  • The generic version, atorvastatin, is typically more affordable, with prices as low as $10 to $30 for a month's supply. However, costs can vary based on pharmacy and location.
  •  

  • Purchasing a larger quantity, such as a 90-day supply, can sometimes reduce the monthly cost. It's also advisable to look for pharmacy discount programs or compare prices at different pharmacies to find the most competitive pricing.
  •  

  • Coupons or patient assistance programs may be available online for further savings. Websites like GoodRx can offer discounts or price comparisons that can lower the cost significantly.

 

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 Lipitor Coverage with Regence

 

Check Your Current Coverage

 

  • Log in to your Regence member account on their website or mobile app to review your current prescription drug coverage.
  •  

  • Examine your policy details to see if Lipitor (Atorvastatin) is listed as a covered medication.

 

Contact Customer Service

 

  • Call the Regence customer service number on your insurance card to clarify if Lipitor is covered under your specific plan, as formularies can differ between plans.
  •  

  • Ask the representative about any preferred pharmacies or necessary forms for coverage determination.

 

Consult with Your Doctor

 

  • Arrange a meeting with your healthcare provider to discuss your need for Lipitor and explore whether there are alternative medications on the Regence formulary with similar efficacy.
  •  

  • Request your doctor to provide medical documentation that justifies the necessity of Lipitor, in case it's required for a coverage exception.

 

Obtain Prior Authorization

 

  • If Lipitor is not readily covered, inquire with Regence about the possibility of obtaining prior authorization for the medication.
  •  

  • Work with your physician to complete and submit any necessary documentation or forms required to get prior authorization approval from Regence.

 

Use the Regence Pharmacy Network

 

  • Confirm with Regence whether specific pharmacy networks are required for full coverage of Lipitor. Using in-network pharmacies can sometimes lead to lower out-of-pocket costs.
  •  

  • Fill your prescription at these specified pharmacies to ensure you receive the maximum benefit coverage.

 

Explore Assistance Programs

 

  • Research and apply for any available assistance programs that might help bridge the coverage gap for Lipitor, such as patient assistance programs offered by the manufacturer.
  •  

  • Communicate with Regence to see if they offer any additional resources or support for expensive medications.

 

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.

Lipitor FAQ

What are the side effects of Lipitor?

 

Common Side Effects of Lipitor

 

  • Headaches or mild dizziness can occur initially.
  • Some may experience digestive issues, such as nausea or diarrhea.
  • Unusual tiredness and muscle pain or weakness might be noticeable.

 

Serious Side Effects

 

  • Rare cases include rhabdomyolysis, marked by severe muscle pain or dark urine.
  • Liver problems might manifest as jaundice or dark urine.
  • Allergic reactions can present with rash, itching, or swelling.

 

Considerations

 

  • Discuss existing liver conditions or alcohol use with your doctor.
  • Inform about other medications to avoid harmful interactions.
  • Always report new or unusual symptoms to a healthcare provider immediately.

 

Can I drink alcohol while taking Lipitor?

 

Alcohol and Lipitor Interaction

 

  • Consult Your Doctor: Always check with your healthcare provider before combining alcohol with any medication.
  •  

  • Liver Considerations: Both alcohol and Lipitor can affect liver function. Combining them may increase liver damage risk, making regular liver function tests important.
  •  

  • Moderate Consumption: Drinking alcohol in moderation might be permissible for some individuals, but it's essential to understand personal risks.
  •  

  • Watch for Symptoms: Be vigilant for unusual symptoms such as muscle pain or weakness, which could signal serious side effects when alcohol is consumed with Lipitor.

 

How long does it take for Lipitor to start working?

 

How Lipitor Works

 

  • Lipitor (atorvastatin) is a statin used to lower cholesterol levels, reducing the risk of heart disease and stroke. It works by inhibiting an enzyme involved in cholesterol production in the liver.

 

Onset of Action

 

  • Lipitor starts to work within the first week of treatment, with measurable cholesterol reduction often evident in 1–2 weeks.

 

Full Effect

 

  • While initial reductions occur quickly, it takes about 4–6 weeks to see the full effect on cholesterol levels and cardiovascular risk reduction.

 

Consistency is Key

 

  • Continue taking Lipitor daily and follow your healthcare provider’s advice for optimal results.
  • Regular monitoring of cholesterol levels is essential to assess effectiveness and adjust dosage if necessary.

 

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