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Does Regence Cover Viagra

Explore why Regence may deny Viagra coverage, ways to secure coverage, cost details without insurance, and answers to common questions.

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Coverage Details for Viagra

Regence's coverage for Viagra may vary based on the specific health plan and individual policy benefits.

In general, Viagra coverage is often limited to certain medical conditions, such as erectile dysfunction (ED) resulting from a diagnosed health issue.

Criteria for Coverage

To be eligible for coverage, a prescription from a healthcare provider diagnosing erectile dysfunction is typically required.

Authorization from Regence may be necessary, which may involve submitting documentation or evidence of the condition.

Quantity limits and dosage restrictions often apply, so check your plan's details.

Basic Rules and Restrictions

Consult the specific terms of your Regence plan to understand any co-payments, deductibles, or out-of-pocket costs associated with Viagra prescriptions.

Some Variants of plans might require trying alternative medications first, as part of step therapy protocols.

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Clinical Support

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 Viagra Coverage with Regence

Check Your Current Regence Plan

Review your Regence insurance policy documents to understand your current prescription drug coverage benefits.
Access your plan details on the Regence member portal or contact customer service for a summary of your benefits.
Look specifically for sections related to prescription drugs and see if Viagra or its generic equivalents are mentioned.

Consult with Your Healthcare Provider

Discuss with your doctor whether Viagra is a medically necessary prescription for you.
If necessary, request your doctor to provide a prescription along with medical documentation that supports the necessity of Viagra for your health condition.

Contact Regence Customer Support

Call the number on the back of your Regence insurance card to speak with a customer service representative.
Ask about the process and requirements for obtaining coverage for Viagra or its generic version.
Request specific information on whether prior authorization or any additional documentation is required for coverage approval.

Submit Necessary Documentation

Gather all required documentation, including your doctor's prescription and any medical necessity letters.
If prior authorization is required, ensure the forms are filled out accurately and completely, following Regence's guidelines.
Submit the completed forms and documentation via the method specified by Regence, either through their online portal, mail, or fax.

Follow Up on Your Request

Monitor the status of your coverage request through the Regence member portal or by contacting customer support again.
If your request is approved, confirm how you can obtain Viagra and understand any out-of-pocket costs associated with it.
If denied, inquire about the reasons for denial and options for appeal or providing additional information.

Appeal the Decision if Necessary

If your request for Viagra coverage is denied, review the denial notice for information about the appeals process.
Work with your healthcare provider to gather any additional support or documentation needed for the appeal.
Submit your appeal in accordance with Regence's procedures, ensuring all deadlines and requirements are met.

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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

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Studies that have been reviewed by certified physicians show that sublingual immunotherapy is a safe treatment option

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FAQs

Does Regence Cover Viagra

Explore why Regence may deny Viagra coverage, ways to secure coverage, cost details without insurance, and answers to common questions.

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Is Viagra Covered by Regence

Coverage Details for Viagra

Regence's coverage for Viagra may vary based on the specific health plan and individual policy benefits.

In general, Viagra coverage is often limited to certain medical conditions, such as erectile dysfunction (ED) resulting from a diagnosed health issue.

Criteria for Coverage

To be eligible for coverage, a prescription from a healthcare provider diagnosing erectile dysfunction is typically required.

Authorization from Regence may be necessary, which may involve submitting documentation or evidence of the condition.

Quantity limits and dosage restrictions often apply, so check your plan's details.

Basic Rules and Restrictions

Consult the specific terms of your Regence plan to understand any co-payments, deductibles, or out-of-pocket costs associated with Viagra prescriptions.

Some Variants of plans might require trying alternative medications first, as part of step therapy protocols.

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Regence's Approved Criteria for Viagra Coverage

Criteria for Viagra Coverage

Viagra is prescribed for the treatment of erectile dysfunction in adult males.

The patient has a documented diagnosis of erectile dysfunction by a healthcare professional.

All alternative treatment options or lifestyle modifications have been considered or previously attempted with inconclusive results.

A prescription for Viagra must be written by a licensed healthcare provider following a thorough medical evaluation.

The patient should not have contraindications such as severe heart problems, recent stroke, or non-arteritic anterior ischemic optic neuropathy.

The patient must be an active member with Regence health insurance coverage, and the requested medication must be listed on the insurance plan's formulary.

The dosage prescribed must align with the FDA-recommended dosing guidelines and be suitable for the patient’s health condition.

Refills and quantity limits will be subject to standard policy requirements, which may require further consultation or re-evaluation by the prescribing provider.

Documentation and Submission Procedures

A written prescription including dosage, frequency, and duration of treatment must be provided.

Medical records supporting the diagnosis and necessity for Viagra must be submitted with the coverage request.

Prior authorization may be required, and all relevant documentation should be submitted through the Regence insurance portal or via mail.

Regular follow-ups with the healthcare provider are encouraged to assess the effectiveness and safety of the medication.

Why Regence Might Deny Viagra Coverage

Reasons Regence Might Deny Viagra Coverage

**Non-Medical Necessity**: If Viagra is not deemed medically necessary for the member according to Regence's established criteria, coverage might be denied. It is typically approved only for certain medical conditions, like erectile dysfunction, and requests that fall outside these parameters may not be approved.

**Lack of Prior Authorization**: Members must often obtain prior authorization before receiving coverage for Viagra. Failure to secure this approval before purchasing the medication could result in denial of coverage.

**Quantity Limits Exceeded**: Regence may have quantity limits on the number of Viagra pills that can be covered within a certain timeframe. If a member's prescription exceeds these limits, coverage might be denied for the excess amounts.

**Excluded Conditions**: If Viagra is prescribed for a condition other than those explicitly covered, Regence may deny the claim. This can include off-label uses or conditions not recognized under the member's specific health plan benefits.

**Plan Exclusion**: Some health plans specifically exclude coverage for erectile dysfunction medications. If Viagra is categorized under such an exclusion, it will not be covered.

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How Much Does Viagra Cost without Insurance?

Viagra Cost Without Insurance

The price of Viagra without insurance varies based on location, pharmacy, and dosage. On average, a single pill of brand-name Viagra (sildenafil citrate) can range from $60 to $90.

Generic versions of sildenafil typically cost significantly less, often ranging from $10 to $15 per pill. This can offer savings for those paying out-of-pocket.

Online pharmacies and discount programs may offer Viagra or its generic counterparts at reduced rates, but it is crucial to ensure the source is reputable and the medication is FDA-approved.

Pharmacy discount cards and savings programs may also provide additional cost reductions, sometimes bringing the cost down to mere dollars per pill for the generic version.

Factors Influencing Cost

**Dosage and Quantity**: Higher dosages, such as 100mg pills, may cost more per unit than lower ones like 25mg or 50mg.

**Brand vs. Generic**: As with most medications, brand-name versions are pricier compared to generics. Switching to a generic version like sildenafil can drastically reduce costs.

**Supplier Pricing**: Prices can differ between pharmacies, both locally and online, due to varying supplier costs, deals, and pharmacy pricing strategies.

**Location**: Geographical location may affect the price, with urban areas sometimes offering greater competition and thus better pricing than rural areas.

Cost-Saving Tips

**Use Generic**: Opt for the generic version when possible, as it is significantly cheaper and equally effective in many cases.

**Shop Around**: Compare prices at various pharmacies, both in-person and online, to find the best deals. Websites like GoodRx can help compare prices.

**Discount Programs**: Check for pharmacy discount programs or patient assistance programs available for prescription medications.

**Bulk Purchase**: Purchasing a larger quantity, if prescribed for regular use, often reduces the cost per pill.

Clinical Support

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

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

Kayla Mardaga, NP

How to Get Viagra Coverage with Regence

Check Your Current Regence Plan

Review your Regence insurance policy documents to understand your current prescription drug coverage benefits.
Access your plan details on the Regence member portal or contact customer service for a summary of your benefits.
Look specifically for sections related to prescription drugs and see if Viagra or its generic equivalents are mentioned.

Consult with Your Healthcare Provider

Discuss with your doctor whether Viagra is a medically necessary prescription for you.
If necessary, request your doctor to provide a prescription along with medical documentation that supports the necessity of Viagra for your health condition.

Contact Regence Customer Support

Call the number on the back of your Regence insurance card to speak with a customer service representative.
Ask about the process and requirements for obtaining coverage for Viagra or its generic version.
Request specific information on whether prior authorization or any additional documentation is required for coverage approval.

Submit Necessary Documentation

Gather all required documentation, including your doctor's prescription and any medical necessity letters.
If prior authorization is required, ensure the forms are filled out accurately and completely, following Regence's guidelines.
Submit the completed forms and documentation via the method specified by Regence, either through their online portal, mail, or fax.

Follow Up on Your Request

Monitor the status of your coverage request through the Regence member portal or by contacting customer support again.
If your request is approved, confirm how you can obtain Viagra and understand any out-of-pocket costs associated with it.
If denied, inquire about the reasons for denial and options for appeal or providing additional information.

Appeal the Decision if Necessary

If your request for Viagra coverage is denied, review the denial notice for information about the appeals process.
Work with your healthcare provider to gather any additional support or documentation needed for the appeal.
Submit your appeal in accordance with Regence's procedures, ensuring all deadlines and requirements are met.

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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.

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Viagra FAQ

1. What is the recommended dosage for Viagra?

Recommended Dosage for Viagra

The typical recommended dose of Viagra for most patients is 50 mg. It's usually taken about 1 hour before sexual activity but can be taken anywhere from 30 minutes to 4 hours beforehand.

Depending on individual efficacy and tolerance, the dose may be adjusted. It can be increased to a maximum recommended dose of 100 mg or decreased to 25 mg.

It's important to take Viagra only once per day. Taking more than the approved dosage can increase the risk of potential side effects.

Always consult with a healthcare provider before adjusting the dosage to suit individual health conditions and requirements.

2. How long does Viagra take to work?

Time to Onset

Viagra typically takes 30 to 60 minutes to become effective after ingestion.
The onset can vary depending on factors like metabolism, age, and diet.

Factors Affecting Effectiveness

Food Intake: Consuming a high-fat meal may delay the drug's effect.
Dosage: Common doses are 25 mg, 50 mg, and 100 mg. A doctor determines the appropriate dose.
Health Condition: Underlying conditions can impact Viagra's efficacy.

Environmental and Mental Factors

The drug requires sexual arousal to work effectively.
Stress or anxiety may reduce effectiveness.

Duration of Effect

Viagra's effects can last for up to 4-5 hours.

3. Can women take Viagra?

Can Women Use Viagra?

Viagra, known by its generic name sildenafil, is primarily designed for men with erectile dysfunction.

Some studies explore its effects on women, but it is not FDA-approved for female use.

Potential off-label uses for women include addressing sexual arousal disorders, but results vary.

Side effects in women can include headaches, flushing, and vision changes.

Consult a healthcare provider before considering Viagra for women to discuss risks and benefits.

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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. 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?

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.

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. We don’t prescribe Ozempic®* or Wegovy®.* We may prescribe treatments containing compounded semaglutide or tirzepatide. 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.

Does Regence Cover Viagra

Explore why Regence may deny Viagra coverage, ways to secure coverage, cost details without insurance, and answers to common questions.

Achieve Your Goals Faster with Curex