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Does SelectHealth Cover Xanax

Learn about SelectHealth's Xanax coverage policies, denial reasons, costs without insurance, and ways to secure coverage. Get answers to common Xanax questions.
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Coverage Overview

 

  • SelectHealth may offer coverage for Xanax if it's deemed medically necessary, typically for treating anxiety and panic disorders.

 

Prescription Requirements

 

  • A valid prescription from a licensed healthcare provider is required.
  • Prior authorization may be needed, meaning your doctor must justify the need for Xanax to the insurance provider.

 

Situations Covered

 

  • Anxiety disorders
  • Panic disorders
  • Other medically approved conditions as evaluated by a healthcare provider

 

Criteria for Coverage

 

  • The patient must have a diagnosis aligning with SelectHealth’s covered indications for Xanax.
  • Alternative treatments have been tried or assessed by the prescribing doctor.
  • Compliance with formulary guidelines and any step therapy requirements that might involve starting with a preferred medication before Xanax is covered.

 

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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 Xanax Coverage with SelectHealth

 

Verify Xanax is Covered

 

  • Check the SelectHealth formulary, which lists covered drugs, to confirm Xanax is included. This can often be found on the SelectHealth website or by contacting customer service.

    •  

  • Determine the tier classification of Xanax within the formulary to understand potential cost variations and requirements.

 

Consult Your Healthcare Provider

 

  • Discuss your need for Xanax with your healthcare provider to ensure they agree on its necessity and are willing to prescribe it.

    •  

  • Your provider may need to note specific information about your condition to help justify the prescription for coverage purposes.

 

Review Pharmacy Benefits

 

  • Log into your SelectHealth member account to review your specific pharmacy benefits and coverage options related to Xanax.

    •  

  • Identify any preferred pharmacies where obtaining Xanax might be more cost-effective or convenient based on your plan.

 

Obtain Prior Authorization

 

  • Contact SelectHealth to confirm if prior authorization is required for Xanax. Your healthcare provider can assist with this process if needed.

    •  

  • Submit any required documentation and await approval, ensuring all necessary details are provided to avoid delays.

 

Fill Your Prescription

 

  • Once authorized, take your prescription to a pharmacy within the SelectHealth network to ensure coverage.

    •  

  • Present your SelectHealth insurance card to the pharmacist to apply benefits at the time of payment.

 

Review EOB and Co-Pay

 

  • After obtaining Xanax, review the Explanation of Benefits (EOB) from SelectHealth to confirm the coverage details and co-payment applied.

    •  

  • Ensure any discrepancies are resolved by contacting SelectHealth promptly for clarification.

 

Stay Informed

 

  • Regularly verify Xanax coverage terms as formularies and benefits can change, impacting your cost and coverage.

    •  

  • Keep communication lines open with your healthcare provider and SelectHealth to manage future prescriptions efficiently.

 

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FAQs

Does SelectHealth Cover Xanax

Learn about SelectHealth's Xanax coverage policies, denial reasons, costs without insurance, and ways to secure coverage. Get answers to common Xanax questions.
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Is Xanax Covered by SelectHealth

 

Coverage Overview

 

  • SelectHealth may offer coverage for Xanax if it's deemed medically necessary, typically for treating anxiety and panic disorders.

 

Prescription Requirements

 

  • A valid prescription from a licensed healthcare provider is required.
  • Prior authorization may be needed, meaning your doctor must justify the need for Xanax to the insurance provider.

 

Situations Covered

 

  • Anxiety disorders
  • Panic disorders
  • Other medically approved conditions as evaluated by a healthcare provider

 

Criteria for Coverage

 

  • The patient must have a diagnosis aligning with SelectHealth’s covered indications for Xanax.
  • Alternative treatments have been tried or assessed by the prescribing doctor.
  • Compliance with formulary guidelines and any step therapy requirements that might involve starting with a preferred medication before Xanax is covered.

 

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SelectHealth's Approved Criteria for Xanax Coverage

 

SelectHealth's Criteria for Xanax Coverage

 

  • Xanax may be covered if prescribed for individuals diagnosed with certain anxiety disorders, including Generalized Anxiety Disorder (GAD) and Panic Disorders. Proper documentation from a healthcare provider is required.

    •  

  • Coverage consideration requires a detailed treatment plan that illustrates why Xanax is medically necessary as part of a broader treatment strategy.

    •  

  • The prescription must be part of a short-term treatment plan, typically limited to a duration of up to six weeks, unless specifically justified by the prescribing physician with documented evidence of necessity.

    •  

  • The patient must demonstrate that they have tried and did not achieve significant relief from alternative therapies or medications, such as SSRIs or other anxiety medications.

    •  

  • Continuous evaluation and follow-up plans with the healthcare provider are needed to ensure ongoing appropriateness of the medication.

    •  

  • A complete history of substance use must be evaluated, and the prescriber must attest to the absence of substance abuse concerns, which might contraindicate Xanax use.

    •  

  • The prescribing physician must be a recognized specialist in mental health, such as a psychiatrist, to ensure proper assessment and monitoring.

    •  

  • Clear documentation that the potential benefits of Xanax outweigh the potential risks associated with its use, considering the patient's specific health context and history.

 

Why SelectHealth Might Deny Xanax Coverage

 

Conditions for Denial of Xanax Coverage by SelectHealth

 

  • **Lack of Medical Necessity**: If Xanax is not deemed medically necessary, SelectHealth may deny coverage. This assessment usually depends on clinical guidelines and the evaluation by healthcare professionals.

    •  

  • **Non-Formulary Drug**: Xanax might not be included in SelectHealth's formulary, or preferred drug list, leading to potential denial of coverage, unless an exception is granted.

    •  

  • **Absence of Prior Authorization**: If prior authorization is required and not obtained, insurance may not cover the prescription. This involves both the submission and approval of necessary documentation demonstrating the need for Xanax.

    •  

  • **Refill Limitations**: SelectHealth may have specific policies regarding the frequency and amount of Xanax prescribed. If prescriptions exceed these limitations, coverage might be denied.

    •  

  • **Non-Compliance with Step Therapy Requirements**: If there are requirements to try other medications before Xanax and those steps are not followed, coverage can be denied.

    •  

  • **Plan Exclusions**: Specific health plans might have exclusions for certain medications like Xanax, particularly for conditions that are not covered benefits under the plan.

    •  

  • **Lack of Documentation**: Absence of the required medical documentation, proving the diagnosis and need for Xanax, might result in non-coverage.

    •  

  • **Duplicate Therapy Alert**: If there’s existing therapy that overlaps with Xanax’s effects, a denial might occur to prevent duplicate treatment.

    •  

  • **Age Restrictions**: If Xanax is prescribed to individuals outside the recommended age range specified by SelectHealth, coverage could be denied.

    •  

 

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How Much Does Xanax Cost without Insurance?

 

Approximate Cost of Xanax Without Insurance

 

  • Xanax, which is a brand name for alprazolam, generally comes in various dosage forms, and the cost can vary significantly depending on the pharmacy and dosage.

    •  

  • The approximate cost for Xanax without insurance is typically in the range of $3 to $10 per tablet for lower doses such as 0.25 mg and 0.5 mg.

    •  

  • Higher doses, such as 1 mg or 2 mg, may cost between $5 and $15 per tablet.

    •  

  • Generic versions of alprazolam are usually cheaper, with costs falling within the lower end of the above range.

    •  

  • Discount pharmacy programs and online coupon services might provide savings of up to 80% off the retail price, but prices can still differ from one pharmacy to another.

    •  

  • Always check multiple pharmacy options and consider using prescription assistance programs to manage costs more effectively.

 

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 Xanax Coverage with SelectHealth

 

Verify Xanax is Covered

 

  • Check the SelectHealth formulary, which lists covered drugs, to confirm Xanax is included. This can often be found on the SelectHealth website or by contacting customer service.

    •  

  • Determine the tier classification of Xanax within the formulary to understand potential cost variations and requirements.

 

Consult Your Healthcare Provider

 

  • Discuss your need for Xanax with your healthcare provider to ensure they agree on its necessity and are willing to prescribe it.

    •  

  • Your provider may need to note specific information about your condition to help justify the prescription for coverage purposes.

 

Review Pharmacy Benefits

 

  • Log into your SelectHealth member account to review your specific pharmacy benefits and coverage options related to Xanax.

    •  

  • Identify any preferred pharmacies where obtaining Xanax might be more cost-effective or convenient based on your plan.

 

Obtain Prior Authorization

 

  • Contact SelectHealth to confirm if prior authorization is required for Xanax. Your healthcare provider can assist with this process if needed.

    •  

  • Submit any required documentation and await approval, ensuring all necessary details are provided to avoid delays.

 

Fill Your Prescription

 

  • Once authorized, take your prescription to a pharmacy within the SelectHealth network to ensure coverage.

    •  

  • Present your SelectHealth insurance card to the pharmacist to apply benefits at the time of payment.

 

Review EOB and Co-Pay

 

  • After obtaining Xanax, review the Explanation of Benefits (EOB) from SelectHealth to confirm the coverage details and co-payment applied.

    •  

  • Ensure any discrepancies are resolved by contacting SelectHealth promptly for clarification.

 

Stay Informed

 

  • Regularly verify Xanax coverage terms as formularies and benefits can change, impacting your cost and coverage.

    •  

  • Keep communication lines open with your healthcare provider and SelectHealth to manage future prescriptions efficiently.

 

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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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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.

Xanax FAQ

1. What is Xanax used for?

 

What is Xanax Used For?

 

  • Anxiety Disorders: Xanax (generic name: alprazolam) is primarily prescribed to manage anxiety disorders, including generalized anxiety disorder (GAD). It helps reduce symptoms like excessive worry, restlessness, and muscle tension.

    •  

  • Panic Attacks: Xanax is used to treat panic attacks and panic disorder. It can alleviate symptoms such as abrupt fear, chest pain, dizziness, and extreme worry about future attacks.

    •  

  • Anxiety Associated with Depression: Xanax may be prescribed as an adjunct treatment to help manage anxiety that accompanies depression, providing additional relief alongside antidepressants.

    •  

  • Short-Term Relief: It is important to note that Xanax is typically used for short-term relief due to its potential for dependency and tolerance development.

 

2. How long does Xanax stay in your system?

 

How Long Xanax Stays in Your System

 

  • Detection Window: Xanax, or alprazolam, is detectable in various parts of the body for differing lengths of time. In urine, Xanax can be detected for up to 4 days after the last dose. In hair, it may be identifiable for up to 90 days.

    •  

  • Factors Affecting Duration: Several factors influence how long Xanax stays in your system, including metabolism, age, health condition, dosage, and frequency of use.

    •  

  • Half-Life: The average half-life of Xanax is approximately 11 hours. This means it takes about that long for the concentration of the drug to reduce by half in the bloodstream.

    •  

3. What are Xanax withdrawal symptoms?

 

Common Xanax Withdrawal Symptoms

 

  • **Anxiety**: Increased anxiety and panic attacks are frequent as the calming effect of Xanax wears off.

    •  

  • **Insomnia**: Difficulty falling or staying asleep may occur, impacting daily functioning.

    •  

  • **Mood Changes**: Irritability, mood swings, and depressive symptoms are often reported.

    •  

  • **Physical Symptoms**: Sweating, headaches, blurred vision, and muscle pain may be experienced.

    •  

  • **Seizures**: In severe cases, withdrawal can lead to seizures, especially with abrupt discontinuation.

    •  

  • **GI Issues**: Nausea, vomiting, and stomach cramps are also common during withdrawal.

 

Have questions left?

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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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Curex provides allergy care plans for allergies, asthma, eczema and pet allergies.

Curex providers may prescribe sublingual allergy drops that contain the same ingredients as allergy shots but are more convenient & affordable.
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Curex-affiliated medical practices are independently owned and operated by licensed physicians who provide services using the Curex telehealth platform.

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