Does Security Health Plan Cover Dulera

Explore Dulera coverage under Security Health Plan, reasons for denial, getting coverage tips, costs without insurance, and FAQs.
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Security Health Plan Coverage for Dulera

 

  • Security Health Plan generally covers Dulera inhalers under its prescription drug plans. However, coverage specifics can vary based on the plan type and tier levels.
  •  

  • Typically, Dulera requires a prescription from a healthcare provider, and some plans might necessitate prior authorization to ensure medical necessity.
  •  

  • The plan may include Dulera in its formulary, which outlines covered medications. Membership in certain plan tiers might impact copayment responsibilities for Dulera.
  •  

  • To verify if Dulera is covered, you should review your plan’s formulary or contact Security Health Plan customer service for detailed information and potential cost responsibilities based on your plan.
  •  

  • Be aware of any step therapy protocols; Security Health Plan might require trying lower-cost alternatives prior to Dulera approval.

 

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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.

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 Dulera Coverage with Security Health Plan

 

Explore Security Health Plan Options

 

  • Visit the Security Health Plan website to review their available health plans. Ensure you choose a plan that includes prescription drug coverage, as Dulera is a prescription medication.
  •  

  • Contact their customer service to inquire whether Dulera is included in their formulary list. This will help you confirm if Dulera is covered under their plans.

 

Enroll in a Suitable Plan

 

  • Once you've confirmed Dulera is covered, proceed to enroll in a Security Health Plan that offers prescription drug benefits.
  •  

  • Make note of any enrollment periods or deadlines to ensure you secure coverage without delays.

 

Consult Your Healthcare Provider

 

  • Before obtaining Dulera, consult with your healthcare provider to obtain a prescription.
  •  

  • Request that your provider writes the prescription with specific dosage details, which may be required for insurance purposes.

 

Submit Prescription to Pharmacies

 

  • Locate a pharmacy in your plan's network to fill the Dulera prescription. Using an in-network pharmacy can reduce costs and ensure coverage.
  •  

  • Present your Security Health Plan insurance details to verify that your plan covers the medication.

 

File for Coverage

 

  • If Dulera is not automatically covered, you may need to submit a coverage request form. Contact Security Health Plan for guidance on the correct procedure.
  •  

  • Include any necessary documentation, such as the prescription or a letter from your healthcare provider, to support your request.

 

Utilize Member Resources

 

  • Access Security Health Plan's member services or online portal for assistance in tracking your prescription claims and coverage status.
  •  

  • Take advantage of any additional resources or assistance programs if any issues with coverage or costs arise.

 

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FAQs

Does Security Health Plan Cover Dulera

Explore Dulera coverage under Security Health Plan, reasons for denial, getting coverage tips, costs without insurance, and FAQs.
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Is Dulera Covered by Security Health Plan

 

Security Health Plan Coverage for Dulera

 

  • Security Health Plan generally covers Dulera inhalers under its prescription drug plans. However, coverage specifics can vary based on the plan type and tier levels.
  •  

  • Typically, Dulera requires a prescription from a healthcare provider, and some plans might necessitate prior authorization to ensure medical necessity.
  •  

  • The plan may include Dulera in its formulary, which outlines covered medications. Membership in certain plan tiers might impact copayment responsibilities for Dulera.
  •  

  • To verify if Dulera is covered, you should review your plan’s formulary or contact Security Health Plan customer service for detailed information and potential cost responsibilities based on your plan.
  •  

  • Be aware of any step therapy protocols; Security Health Plan might require trying lower-cost alternatives prior to Dulera approval.

 

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Security Health Plan's Approved Criteria for Dulera Coverage

 

Criteria for Coverage of Dulera

 

  • **Diagnosis:** The patient must have a documented diagnosis of asthma. The diagnosis should be validated by a healthcare professional and supported by clinical evaluation and testing.
  •  

  • **Age Restriction:** Dulera is approved for patients 12 years of age and older. Coverage will not be provided for patients below this age threshold.
  •  

  • **Prescription by a Specialist:** The prescription for Dulera should ideally come from a specialist in respiratory diseases, such as a pulmonologist or allergist. Prescriptions from primary care physicians may need further documentation.
  •  

  • **Need for Combination Therapy:** The patient must demonstrate a need for a combination of an inhaled corticosteroid and a long-acting beta-agonist for adequate asthma control. This is typically characterized by insufficient control with a single therapy.
  •  

  • **Previous Treatment Records:** Documentation should show that the patient has previously tried and had a suboptimal response to other controller medications such as inhaled corticosteroids alone or other combination therapies.
  •  

  • **Dosage and Usage Guidelines:** Coverage is provided when the therapy is used according to the recommended dosing guidelines, unless adjustments are medically justified and documented in the patient’s medical records.
  •  

  • **Response Monitoring:** Continuous monitoring of the patient’s response to the treatment should be documented, with adjustments to therapy noted in line with best practice guidelines.
  •  

  • **Authorization Requirements:** Initial approval may require prior authorization and must include specific documentation attesting to the need for Dulera, given the patient’s medical history and treatment requirements.

 

Why Security Health Plan Might Deny Dulera Coverage

 

Reasons for Denial of Dulera Coverage by Security Health Plan

 

  • Dulera may not be covered if it lacks a prior authorization from a healthcare provider within the Security Health Plan network, as it may be considered non-essential without supporting documentation.
  •  

  • Coverage might be denied if the patient does not meet the specific age criteria defined by the Security Health Plan for Dulera prescription.
  •  

  • If Dulera is prescribed for a condition not approved by the FDA or not listed as a covered indication in the plan's formulary, the coverage may be denied.
  •  

  • Dulera may not be covered if the patient has not tried other preferred medications first, as indicated by the Security Health Plan's step therapy protocol.
  •  

  • Security Health Plan might deny coverage if the prescribed Dulera exceeds the dosage limits specified in the plan's guidelines.
  •  

  • Coverage can also be denied if the medication is obtained through a non-participating pharmacy or outside of the Security Health Plan's provider network.
  •  

  • If a patient’s medical file lacks proper documentation justifying the need for Dulera, Security Health Plan may deny the coverage.
  •  

  • In case the patient has not met deductible or out-of-pocket maximums as stipulated by their coverage plan, Dulera may not be financially covered.

 

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How Much Does Dulera Cost without Insurance?

 

Approximate Cost of Dulera Without Insurance

 

  • The cost of Dulera, which is used to help control symptoms of asthma, can vary depending on the pharmacy and location. However, the typical price for a one-month supply (inhaler) of Dulera without insurance is approximately $250 to $350.
  •  

  • This price may differ based on dosage strength, and whether you're purchasing a brand name or a generic version if available.
  •  

  • Prices can fluctuate, and it is advisable to check with different pharmacies or consider using discount cards or coupons that might be available to reduce the cost.
  •  

  • Additionally, some pharmaceutical companies offer patient assistance programs for those who qualify, which can significantly lower the cost of Dulera.

 

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 Dulera Coverage with Security Health Plan

 

Explore Security Health Plan Options

 

  • Visit the Security Health Plan website to review their available health plans. Ensure you choose a plan that includes prescription drug coverage, as Dulera is a prescription medication.
  •  

  • Contact their customer service to inquire whether Dulera is included in their formulary list. This will help you confirm if Dulera is covered under their plans.

 

Enroll in a Suitable Plan

 

  • Once you've confirmed Dulera is covered, proceed to enroll in a Security Health Plan that offers prescription drug benefits.
  •  

  • Make note of any enrollment periods or deadlines to ensure you secure coverage without delays.

 

Consult Your Healthcare Provider

 

  • Before obtaining Dulera, consult with your healthcare provider to obtain a prescription.
  •  

  • Request that your provider writes the prescription with specific dosage details, which may be required for insurance purposes.

 

Submit Prescription to Pharmacies

 

  • Locate a pharmacy in your plan's network to fill the Dulera prescription. Using an in-network pharmacy can reduce costs and ensure coverage.
  •  

  • Present your Security Health Plan insurance details to verify that your plan covers the medication.

 

File for Coverage

 

  • If Dulera is not automatically covered, you may need to submit a coverage request form. Contact Security Health Plan for guidance on the correct procedure.
  •  

  • Include any necessary documentation, such as the prescription or a letter from your healthcare provider, to support your request.

 

Utilize Member Resources

 

  • Access Security Health Plan's member services or online portal for assistance in tracking your prescription claims and coverage status.
  •  

  • Take advantage of any additional resources or assistance programs if any issues with coverage or costs arise.

 

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Dulera FAQ

What are the side effects of Dulera?

 

Common Side Effects of Dulera

 

  • Headache
  • Sore throat
  • Sinus pain
  • Nosebleed
  • Oral thrush (fungal infection)

 

Serious Side Effects

 

  • Wheezing or breathing problems
  • Severe allergic reactions (rash, itching/swelling)
  • Vision problems
  • Reduced bone density with long-term use

 

Monitoring and Precautions

 

  • Regularly check bone health and eye exams
  • Rinse mouth after inhalation to prevent oral infections
  • Consult your doctor if side effects worsen or persist

 

How does Dulera work for asthma?

 

Mechanism of Action

 

  • Dulera is a combination inhaler containing mometasone (a corticosteroid) and formoterol (a long-acting beta-agonist).
  •  

  • Mometasone reduces inflammation in the airways, minimizing swelling and irritation.
  •  

  • Formoterol relaxes bronchial muscles, improving airflow and easing breathing.

 

Benefits for Asthma

 

  • Helps prevent asthma attacks by maintaining open airways over long periods.
  •  

  • Decreases the usage frequency of rescue inhalers due to improved control of symptoms.

 

Usage Guidance

 

  • Use regularly as prescribed, even without current symptoms, for effective management.
  •  

  • Rinse mouth after inhalation to reduce risks of oral thrush from corticosteroid use.

 

Consultation Necessity

 

  • Discuss with healthcare provider if side effects occur or asthma symptoms do not improve.

 

Is Dulera a steroid inhaler?

 

Is Dulera a Steroid Inhaler?

 

  • Dulera is a combination inhaler used for asthma management, containing both formoterol, a long-acting beta-agonist (LABA), and mometasone furoate, which is a corticosteroid.
  •  

  • Corticosteroids in Dulera are used to reduce inflammation in the airways, helping to prevent and control asthma symptoms.
  •  

  • Formoterol helps in relaxing muscles around the airways, making breathing easier by widening the air passages.
  •  

  • It's essential to use Dulera regularly for it to be effective; it is not intended for relief of acute asthma attacks.
  •  

  • Patients should be aware of potential side effects like throat irritation or thrush due to the steroid component, and rinsing the mouth after use may help minimize these risks.

 

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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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