Curex logo black
A modern clinic for at-home treatments
(857) 240-1080
Am I eligible?
Pricing
Am I eligible?
Refer a friend
MyCurex
Login
Logout
Am I eligible?
(857) 240-1080
(857) 240-1080
Am I eligible?
Holiday Sale! Get started today for only

$49$4.99

Get started today

Does Sharp Health Plan Cover Cymbalta

Explore Cymbalta coverage by Sharp Health Plan, reasons for denial, tips for approval, costs without insurance, and FAQs in our comprehensive guide.
Treat your allergies with Curex
Curex allergy drops unboxing
as seen on
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Sharp Health Plan Coverage for Cymbalta

 

  • Cymbalta is generally considered a formulary medication under the Sharp Health Plan if prescribed for conditions like depression, anxiety disorders, and chronic pain management, including fibromyalgia.

    •  

  • To get Cymbalta covered, a doctor's prescription is essential, indicating that it's medically necessary for the patient's treatment plan.

    •  

  • Coverage typically requires that members try other first-line therapies before Cymbalta, according to Sharp Health Plan’s step therapy program.

    •  

  • Pre-authorization might be necessary to ensure that the criteria for coverage are met, which involves documentation from a healthcare provider explaining the need for Cymbalta.

    •  

  • Out-of-pocket costs will depend on the specific plan tier, with generic alternatives possibly being available at a lower cost.

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.

Start Now
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 Cymbalta Coverage with Sharp Health Plan

 

Initial Steps with Sharp Health Plan

 

  • Visit the Sharp Health Plan official website to begin your engagement process. It's crucial to familiarize yourself with the resources available regarding prescription coverage.

    •  

  • Sign in or create an account on the Sharp Health Plan's member portal to access personalized services. This account will help you manage your health benefits and coverage information with ease.

 

Check the Formulary

 

  • Navigate to the "Formulary" or "Covered Drugs" section of the member portal. The formulary is a comprehensive list of medications covered by your health plan, including tier levels and any restrictions.

    •  

  • Search for Cymbalta (duloxetine) in the formulary to confirm its coverage status. Take note of the drug tier level, as this will affect the copayment or coinsurance amount.

 

Contact Member Services

 

  • If you have any questions regarding the coverage of Cymbalta, contact Sharp Health Plan's Member Services. Use the contact information provided on the website or on the back of your insurance card.

    •  

  • Prepare to discuss your health plan details and specific queries about Cymbalta coverage. Member Services can provide information about prior authorization or step therapy requirements if applicable.

 

Prior Authorization Process

 

  • If Cymbalta requires prior authorization, your healthcare provider must submit a request on your behalf. Ensure your provider complies with the necessary procedures and documentation for authorization.

    •  

  • Follow up with your healthcare provider to confirm the submission of the prior authorization request. Keep informed about the expected timeline for approval.

 

Filling Your Prescription

 

  • Upon approval, take your prescription to a pharmacy that participates in Sharp Health Plan's network. Filling your prescription at an in-network pharmacy typically ensures you receive the best coverage and cost benefits.

    •  

  • Consider using the preferred mail-order service if available. This service often provides a convenient option with potentially lower costs for long-term medications.

 

Review Your Benefits Regularly

 

  • Regularly review your health plan benefits and coverage updates to stay informed. Changes in plan details or formulary can affect your medication coverage.

    •  

  • Update your medical records and provide any new health information to Sharp Health Plan to ensure your prescription needs align with your current health status.

 

Curex allergy drops unboxing
Happy Customers

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?
At-home Immunotherapy

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 Sharp Health Plan Cover Cymbalta

Explore Cymbalta coverage by Sharp Health Plan, reasons for denial, tips for approval, costs without insurance, and FAQs in our comprehensive guide.
Achieve Your Goals Faster with Curex
Curex allergy drops unboxing

Is Cymbalta Covered by Sharp Health Plan

 

Sharp Health Plan Coverage for Cymbalta

 

  • Cymbalta is generally considered a formulary medication under the Sharp Health Plan if prescribed for conditions like depression, anxiety disorders, and chronic pain management, including fibromyalgia.

    •  

  • To get Cymbalta covered, a doctor's prescription is essential, indicating that it's medically necessary for the patient's treatment plan.

    •  

  • Coverage typically requires that members try other first-line therapies before Cymbalta, according to Sharp Health Plan’s step therapy program.

    •  

  • Pre-authorization might be necessary to ensure that the criteria for coverage are met, which involves documentation from a healthcare provider explaining the need for Cymbalta.

    •  

  • Out-of-pocket costs will depend on the specific plan tier, with generic alternatives possibly being available at a lower cost.

A weight management program tailored to you

Start with Curex

Sharp Health Plan's Approved Criteria for Cymbalta Coverage

 

Approved Criteria for Cymbalta Coverage

 

  • Cymbalta is approved for coverage for the treatment of major depressive disorder in patients who have failed to respond to at least two other antidepressant therapies.

    •  

  • Cymbalta is covered for individuals diagnosed with generalized anxiety disorder, subject to confirmation from a licensed mental health professional.

    •  

  • Cymbalta may be covered for chronic musculoskeletal pain, specifically chronic lower back pain or osteoarthritis of the knee, when alternative treatment options have proven ineffective.

    •  

  • The plan covers Cymbalta for diabetic peripheral neuropathic pain for patients who have an established diagnosis of diabetes and documented neuropathic pain symptoms.

    •  

  • Cymbalta is included for patients with fibromyalgia who have tried and failed non-pharmacological approaches and other pharmacological treatments such as tricyclic antidepressants or pregabalin.

 

Why Sharp Health Plan Might Deny Cymbalta Coverage

 

Reasons for Denial of Cymbalta Coverage

 

  • Cymbalta is not medically necessary according to Sharp Health Plan's assessment and guidelines. Coverage may be denied if the medication is not aligned with established medical criteria for necessity.

    •  

  • The prescription does not comply with Sharp Health Plan's formulary guidelines, meaning Cymbalta is not listed as a covered drug on their approved medication list for a specific condition.

    •  

  • There is a failure to obtain prior authorization. Sharp Health Plan might require prior authorization for certain medications, including Cymbalta, to ensure the prescription meets their coverage criteria.

    •  

  • The prescribed use of Cymbalta is considered experimental or investigational. If the medication is prescribed for a use not approved by the FDA or not backed by adequate clinical evidence, coverage may be denied.

    •  

  • Duplication of therapy is identified. If the patient is already taking a similar or equivalent medication covered under Sharp Health Plan, the addition of Cymbalta might be denied to prevent overlapping medication therapies.

    •  

  • The patient has not met step therapy requirements. Sharp Health Plan may have a step therapy program where they require trying a less expensive or preferred drug before Cymbalta is covered.

    •  

  • Cymbalta is not covered for the patient's specific diagnosis. Sharp Health Plan might restrict coverage of Cymbalta to certain diagnoses, and if the patient's condition does not match those criteria, coverage can be denied.

 

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

Join Curex

How Much Does Cymbalta Cost without Insurance?

 

Cymbalta Cost Without Insurance

 

  • The average retail price of Cymbalta can range from $150 to $200 for a 30-day supply of 30 mg or 60 mg capsules. Prices can vary depending on the pharmacy location and the quantity purchased.

    •  

  • Some pharmacies may offer generic versions of Cymbalta, known as duloxetine, which can significantly reduce the cost. Generic duloxetine is typically priced between $20 and $60 for a 30-day supply, depending on the dosage and pharmacy.

    •  

  • While purchasing Cymbalta without insurance can be expensive, various discount programs and medication coupons are available that may help reduce the price. Patients can check online resources or inquire directly at pharmacies for available discounts.

    •  

  • Additionally, some large retailers or warehouse clubs may offer generic medications at reduced prices, which may be an option to consider.

 

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 Cymbalta Coverage with Sharp Health Plan

 

Initial Steps with Sharp Health Plan

 

  • Visit the Sharp Health Plan official website to begin your engagement process. It's crucial to familiarize yourself with the resources available regarding prescription coverage.

    •  

  • Sign in or create an account on the Sharp Health Plan's member portal to access personalized services. This account will help you manage your health benefits and coverage information with ease.

 

Check the Formulary

 

  • Navigate to the "Formulary" or "Covered Drugs" section of the member portal. The formulary is a comprehensive list of medications covered by your health plan, including tier levels and any restrictions.

    •  

  • Search for Cymbalta (duloxetine) in the formulary to confirm its coverage status. Take note of the drug tier level, as this will affect the copayment or coinsurance amount.

 

Contact Member Services

 

  • If you have any questions regarding the coverage of Cymbalta, contact Sharp Health Plan's Member Services. Use the contact information provided on the website or on the back of your insurance card.

    •  

  • Prepare to discuss your health plan details and specific queries about Cymbalta coverage. Member Services can provide information about prior authorization or step therapy requirements if applicable.

 

Prior Authorization Process

 

  • If Cymbalta requires prior authorization, your healthcare provider must submit a request on your behalf. Ensure your provider complies with the necessary procedures and documentation for authorization.

    •  

  • Follow up with your healthcare provider to confirm the submission of the prior authorization request. Keep informed about the expected timeline for approval.

 

Filling Your Prescription

 

  • Upon approval, take your prescription to a pharmacy that participates in Sharp Health Plan's network. Filling your prescription at an in-network pharmacy typically ensures you receive the best coverage and cost benefits.

    •  

  • Consider using the preferred mail-order service if available. This service often provides a convenient option with potentially lower costs for long-term medications.

 

Review Your Benefits Regularly

 

  • Regularly review your health plan benefits and coverage updates to stay informed. Changes in plan details or formulary can affect your medication coverage.

    •  

  • Update your medical records and provide any new health information to Sharp Health Plan to ensure your prescription needs align with your current health status.

 

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.

Cymbalta FAQ

1. What are the side effects of Cymbalta?

 

Common Side Effects of Cymbalta

 

  • Nausea is often reported, particularly during the first weeks of use.
  • Dry mouth may occur, leading to discomfort and increased thirst.
  • Dizziness or lightheadedness, especially when standing up quickly.
  • Fatigue and drowsiness are common, impacting daily activities.

 

Serious Side Effects

 

  • Mood changes, including increased anxiety or depression.
  • Unusual bruising or bleeding may indicate underlying issues.
  • Severe stomach pain or nausea could signify liver problems.
  • Allergic reactions such as rash, itching, or swelling require immediate medical attention.

 

Precautions

 

  • Regularly monitor blood pressure, as Cymbalta can cause increases.
  • Report any suicidal thoughts or behavior changes to your doctor immediately.
  • Avoid alcohol to reduce the risk of liver damage.

 

2. Is Cymbalta used for anxiety or depression?

 

Uses of Cymbalta

 

  • Anxiety: Cymbalta, or duloxetine, is approved for generalized anxiety disorder (GAD). It can help reduce symptoms such as excessive worry, restlessness, and difficulty concentrating.

    •  

  • Depression: Cymbalta is a common medication for major depressive disorder (MDD). It helps improve mood, sleep, appetite, and energy level while decreasing nervousness.

 

Mechanism of Action

 

  • Cymbalta is a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by balancing chemicals in the brain that can become unbalanced and cause anxiety or depression.

    •  

 

Consultation & Precaution

 

  • Always consult a healthcare provider to determine if Cymbalta is suitable for you, especially if you have underlying health conditions or take other medications.

    •  

  • Be aware of potential side effects like nausea, dry mouth, or sleep disturbances. Report severe reactions or suicidal thoughts immediately.

 

3. How long does it take for Cymbalta to work?

 

Understanding Cymbalta's Effectiveness Timeline

 

  • Initial Symptoms Relief: Typically, patients may start noticing the initial relief of symptoms in about 1 to 2 weeks. This is when some minor improvements may be observed, but it varies depending on the individual and condition.

    •  

  • Full Therapeutic Benefit: To experience the full therapeutic benefits of Cymbalta, it usually takes about 4-6 weeks. This period allows the medication to reach a stable level in your system and provide more comprehensive symptom management.

    •  

  • Factors Influencing Effectiveness: Individual factors like metabolism, the severity of the condition, and concurrent medications can affect how quickly Cymbalta works.

 

Have questions left?

‍

Get a personalized online consultation with a doctor at Curex

Learn More

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

Button Text

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.

Learn
Immunotherapy 101
Allergy Immunotherapy
Science
Allergy Drops
Allergy Shots
Allergy Clinic
Allergy Medicine
Allergy Testing
Allergy ImmunotherapyAllergy Immunotherapy
CostsFood Allergy ImmunotherapyCat Allergy ImmunotherapySublingual ImmunotherapyWyndly ReviewCurex ReviewsAbout CurexBlogCitiesAllergensFAQAllergy Immunotherapy Insights & ResearchesInsurance directoryDrug reviewsFood AllergiesAllergy SymptomsWeight Loss BlogsDiabetes BlogBeauty Products AllergiesAllergy to Pets 101Exercises for Weight Loss
Contact

Call/text us at:

(857) 240-1080

Email us at:

hi@getcurex.com

777 Brickell Ave #500-95053
Miami, FL 33131

PRIVACY POLICY
TERMS OF USE
INFORMED CONSENT
WE COVER ALL STATES
NOTICE OF PRIVACY PRACTICES
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.
‍
Curex-affiliated medical practices are independently owned and operated by licensed physicians who provide services using the Curex telehealth platform.

Compounded medications have not been approved by the FDA and the FDA has not evaluated their safety or efficacy.

2025 Curex, Inc. All rights reserved.
Made in Webflow