Does UnitedHealthcare Cover Farxiga

Learn about Farxiga coverage with UnitedHealthcare, reasons for denial, obtaining coverage, costs without insurance, and get answers to common FAQs.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Farxiga Coverage by UnitedHealthcare

 

  • Farxiga is primarily covered for Type 2 Diabetes management, chronic kidney disease, or heart failure, depending on your plan.
  •  

  • Coverage usually requires a doctor's prescription and prior authorization to ensure it's medically necessary.
  •  

  • Criteria for coverage often include confirmation of diagnosis and documentation of previous treatments tried.
  •  

  • Your specific plan’s formulary will detail the tier level of Farxiga and any applicable copayment or coinsurance.
  •  

  • It's important to verify with UnitedHealthcare for plan-specific details as coverage and policies may vary.

 

Want to try immunotherapy?

Start with Curex

Covered

Uncovered

Treat your allergies with Curex - $49  $9.99

Review your allergy test results with a Curex allergist.

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Farxiga Coverage with UnitedHealthcare

 

Contact UnitedHealthcare Customer Service

 

  • Locate your UnitedHealthcare ID card to find the customer service phone number for your specific plan.
  •  

  • Call the customer service number to inquire about your current prescription coverage and confirm whether Farxiga is included.
  •  

  • Ask for any forms or documentation you might need to submit for prescription coverage.

 

Consult with Your Healthcare Provider

 

  • Discuss the necessity of Farxiga with your healthcare provider, ensuring it is the most appropriate medication for your condition.
  •  

  • Request that your healthcare provider submit a prior authorization request to UnitedHealthcare if necessary, as this is often required to get specific drugs covered.

 

Understand Your Plan's Formulary

 

  • Access the formulary for your specific UnitedHealthcare plan online through their website or by requesting a hard copy.
  •  

  • Review the formulary to check the tier placement of Farxiga, as this will impact your copay or coinsurance amount.
  •  

  • If Farxiga is not listed, consult with your healthcare provider about possible alternatives or next steps.

 

Submit a Formal Request if Necessary

 

  • Gather any required documentation, including medical records and your healthcare provider's notes, to support the need for Farxiga.
  •  

  • Complete any forms provided by UnitedHealthcare, attaching all relevant documentation.
  •  

  • Submit the request by the method specified by UnitedHealthcare—either online, by mail, or by fax.

 

Handle Denials or Appeals

 

  • If your request for Farxiga coverage is denied, review the explanation provided by UnitedHealthcare carefully.
  •  

  • Prepare an appeal by collecting additional supporting documents and a letter of medical necessity from your healthcare provider.
  •  

  • Follow the outlined appeal process in the denial letter, ensuring you meet any submission deadlines.

 

Utilize Online Tools and Resources

 

  • Log into your UnitedHealthcare online account to access personalized resources or tools that can help manage your prescription coverage.
  •  

  • Take advantage of any available cost estimator tools to better understand your potential financial obligations for Farxiga.
  •  

  • Join community forums or support groups for insights and strategies from others who have navigated similar processes.

 

Regularly Monitor Your Coverage

 

  • Keep abreast of any changes to your policy during the plan year by regularly checking your mail, email notifications, or the UnitedHealthcare website.
  •  

  • Promptly report any errors or issues with your coverage to customer service to address them directly.

 

Curex allergy drops unboxing

We love helping people!

Allie, Nevada

five stars

"I have two cats I can finally cuddle!"

Cat and dog allergies

Zachary, Texas

five stars

“I can breathe through my nose for the first time in like 20 years!"

dust allergy
mold allergy

Dust and mold allergies

Erika, New York

five stars

“I've noticed less sneezing and shortness of breath.”

tree allergy
grass allergy

Tree and grass allergies

Richard, Texas

five stars


I love the convenience!

tree allergy

Tree and cat allergies

We Treat Food, Indoor & Outdoor Allergies

tree allergy
Tree Pollens
maple leaf icon
Weed Pollens
Cat Allergies
Dog Allergies
insect icon
Dust Mites
mold allergy
Molds
Food Allergies
 curex user showing allergy treatment kita patient showing allergy treatment boxa male patient showing allergy drops vial
50,000+ users have overcome their allergies
Am I eligible?

Benefits of Curex

At-home treatment

Apply treatments in minutes from the comfort of your own home with under-the-tongue applications instead of shots or pills

5-30x higher cumulative dose vs allergy shots

Sublingual immunotherapy delivers a higher dose of allergens over the course of treatment.

Potential for results in as few as 6 months

Individual results vary but some users have reported a noticeable difference in as few as 6-12 months since starting treatments

Excellent safety profile

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

Treatment prescribed
by clinician

1
right line icon
Curex packaging

Clinicaly made allergen extracts are customized for your allergies

2
right line icon
insect icon
grass icon
man opening Curex packaging

Your immune system gets desensitized to allergens, giving you long-term relief.

3

FAQs

Does UnitedHealthcare Cover Farxiga

Learn about Farxiga coverage with UnitedHealthcare, reasons for denial, obtaining coverage, costs without insurance, and get answers to common FAQs.
Curex allergy drops unboxing

Is Farxiga Covered by UnitedHealthcare

 

Farxiga Coverage by UnitedHealthcare

 

  • Farxiga is primarily covered for Type 2 Diabetes management, chronic kidney disease, or heart failure, depending on your plan.
  •  

  • Coverage usually requires a doctor's prescription and prior authorization to ensure it's medically necessary.
  •  

  • Criteria for coverage often include confirmation of diagnosis and documentation of previous treatments tried.
  •  

  • Your specific plan’s formulary will detail the tier level of Farxiga and any applicable copayment or coinsurance.
  •  

  • It's important to verify with UnitedHealthcare for plan-specific details as coverage and policies may vary.

 

A weight management program tailored to you

Start with Curex

UnitedHealthcare's Approved Criteria for Farxiga Coverage

 

Eligibility for Farxiga Coverage

 

  • Patient has a diagnosis of Type 2 Diabetes Mellitus (T2DM) and is seeking Farxiga as part of their treatment plan.
  •  

  • Evidence of inadequate glycemic control with standard anti-diabetic medications such as metformin, sulfonylureas, or other oral agents.
  •  

  • Demonstration of documented trial and failure, contraindication, or intolerance to other preferred diabetic therapies before considering Farxiga.

 

Criteria for Chronic Kidney Disease

 

  • Patient diagnosed with Chronic Kidney Disease (CKD) with evidence of an estimated glomerular filtration rate (eGFR) as specified by clinical guidelines supporting Farxiga usage.
  •  

  • Documentation reflecting the inability to achieve treatment goals with current nephropathy treatments as suggested by nephrologist or treating healthcare provider.

 

Criteria for Heart Failure

 

  • Diagnosis of heart failure with reduced ejection fraction (HFrEF) as confirmed by a healthcare provider.
  •  

  • Exhibit symptoms suggesting a need for additional therapy for heart function improvement despite conventional treatments.

 

Prescription Requirements

 

  • Prescription by an endocrinologist, nephrologist, cardiologist, or other specialist with expertise in managing diabetes, CKD, or heart failure.
  •  

  • Documentation supporting the medical necessity of Farxiga based on current clinical condition and treatment history.

 

Why UnitedHealthcare Might Deny Farxiga Coverage

 

Reasons for Denial of Farxiga Coverage by UnitedHealthcare

 

  • Farxiga is not covered if it is prescribed for off-label use that is not approved by the FDA.
  •  

  • Coverage might be denied if the patient does not meet the medical necessity criteria outlined in the plan specifics, which may include requirements for prior treatments or conditions.
  •  

  • The medication may not be covered if it is not included in the formulary list, or if a cheaper alternative is available and preferred by UnitedHealthcare's policy.
  •  

  • A lack of prior authorization or failure to follow the step therapy protocol set by the insurance plan could also result in denial.
  •  

  • UnitedHealthcare might deny coverage if there are discrepancies or incomplete information in the paperwork submitted for claims or authorization.
  •  

  • Coverage can be denied if the patient's plan has restrictions based on pharmaceutical agreements or tier exclusions for specific drugs like Farxiga.

 

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

How Much Does Farxiga Cost without Insurance?

 

Estimated Cost of Farxiga Without Insurance

 

  • Farxiga, a medication used primarily for the management of type 2 diabetes and certain forms of heart failure, can be quite costly without insurance coverage.
  •  

  • The cash price for Farxiga typically ranges between $500 and $550 for a 30-day supply, depending on the pharmacy and location.
  •  

  • Some pharmacies may offer discount programs or cards that can slightly lower this cost, but significant savings are usually only available through insurance coverage.
  •  

  • Always consider checking with multiple pharmacies or online services where discounts might be more prevalent.

 

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 Farxiga Coverage with UnitedHealthcare

 

Contact UnitedHealthcare Customer Service

 

  • Locate your UnitedHealthcare ID card to find the customer service phone number for your specific plan.
  •  

  • Call the customer service number to inquire about your current prescription coverage and confirm whether Farxiga is included.
  •  

  • Ask for any forms or documentation you might need to submit for prescription coverage.

 

Consult with Your Healthcare Provider

 

  • Discuss the necessity of Farxiga with your healthcare provider, ensuring it is the most appropriate medication for your condition.
  •  

  • Request that your healthcare provider submit a prior authorization request to UnitedHealthcare if necessary, as this is often required to get specific drugs covered.

 

Understand Your Plan's Formulary

 

  • Access the formulary for your specific UnitedHealthcare plan online through their website or by requesting a hard copy.
  •  

  • Review the formulary to check the tier placement of Farxiga, as this will impact your copay or coinsurance amount.
  •  

  • If Farxiga is not listed, consult with your healthcare provider about possible alternatives or next steps.

 

Submit a Formal Request if Necessary

 

  • Gather any required documentation, including medical records and your healthcare provider's notes, to support the need for Farxiga.
  •  

  • Complete any forms provided by UnitedHealthcare, attaching all relevant documentation.
  •  

  • Submit the request by the method specified by UnitedHealthcare—either online, by mail, or by fax.

 

Handle Denials or Appeals

 

  • If your request for Farxiga coverage is denied, review the explanation provided by UnitedHealthcare carefully.
  •  

  • Prepare an appeal by collecting additional supporting documents and a letter of medical necessity from your healthcare provider.
  •  

  • Follow the outlined appeal process in the denial letter, ensuring you meet any submission deadlines.

 

Utilize Online Tools and Resources

 

  • Log into your UnitedHealthcare online account to access personalized resources or tools that can help manage your prescription coverage.
  •  

  • Take advantage of any available cost estimator tools to better understand your potential financial obligations for Farxiga.
  •  

  • Join community forums or support groups for insights and strategies from others who have navigated similar processes.

 

Regularly Monitor Your Coverage

 

  • Keep abreast of any changes to your policy during the plan year by regularly checking your mail, email notifications, or the UnitedHealthcare website.
  •  

  • Promptly report any errors or issues with your coverage to customer service to address them directly.

 

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.

Farxiga FAQ

What are the side effects of Farxiga?

 

Common Side Effects of Farxiga

 

  • Increased urination due to its diuretic effect, which may lead to dehydration. Maintain adequate hydration.
  • Potential urinary tract infections or yeast infections in genital areas, due to changes in the urinary environment.

 

Metabolic Effects

 

  • Weight loss can occur, linked to its mechanism of expelling glucose via urine.
  • Electrolyte imbalances, such as elevated potassium levels in blood, may appear in some cases.

 

Serious Reactions

 

  • Ketoacidosis risk: Watch for symptoms like nausea, vomiting, or abdominal pain.
  • Rarely, serious infections like Fournier's gangrene can develop. Seek immediate attention if you notice pain, redness, or swelling in genital or anal areas.

 

Can Farxiga help with weight loss?

 

Can Farxiga Aid Weight Loss?

 

  • Farxiga (dapagliflozin) is primarily a medication for managing type 2 diabetes and heart failure. It helps control blood sugar by promoting the excretion of glucose through urine.
  •  

  • Though not prescribed primarily for weight loss, some patients experience weight reduction as a secondary benefit.
  •  

  • Weight loss occurs because Farxiga facilitates the removal of excess calories in the form of glucose. However, the effect is usually modest and not guaranteed for everyone.
  •  

  • Consult a healthcare professional to understand if Farxiga is suitable for your condition and weight management goals.

 

Is Farxiga used for heart failure treatment?

 

Farxiga for Heart Failure

 

  • Farxiga (dapagliflozin) is primarily a SGLT2 inhibitor, initially developed to treat type 2 diabetes by helping the kidneys excrete glucose.
  •  

  • Recent studies have shown Farxiga's efficacy in heart failure management, particularly heart failure with reduced ejection fraction (HFrEF), by reducing hospitalizations and improving cardiovascular outcomes.
  •  

  • The medication works by decreasing fluid overload and blood pressure, lessening the heart's workload.
  •  

  • Farxiga is approved for heart failure treatment regardless of diabetes status, broadening its use in cardiology.
  •  

Have questions left?

Get a personalized online consultation with a doctor at Curex

Curex is one of America’s largest telehealth providers

Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

“Curex has performed beyond my expectations. I am feeling tremendously better and look forward to continuing the treatment.”
Becky D.
"If I could give 6 stars, I would. BEST... BEST… BEST… service.”
Ferdian K.
“The Curex staff has been professional, efficient, and really focused on my individual needs.”
Ana C.

Start your
journey now

Everything you need is included:

Online consultation

Your prescription

Premium medication

Overnight shipping

Ongoing support

A weight management program tailored to you

Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.

Got questions? We have answers.

Do your plans include prescriptions and medications?

Curex plans cover everything from reviewing your medical intake to providing prescription medications, with free shipping included. There are no extra or hidden charges. Prescriptions are issued only after a medical provider reviews your information to confirm that the medication is suitable for you. Our service includes continuous support and regular follow-ups to ensure your treatment stays on track.

Our clinicians may order labs and additional medications for you, which would not be covered by the plan but for which you can use your insurance.

Please note: Compounded medications are tailored to individual needs or used in case of shortages, but they are not FDA-approved for safety or effectiveness. A prescription is required. Results may vary from person to person.

What medications do your providers prescribe?

We prioritize a personalized approach to your health. If your medical provider prescribes medication, options may include GLP-1 treatments such as compounded semaglutide (the active ingredient in Wegovy®* and Ozempic®*). Our providers prescribe only combination treatments not available at your local pharmacy that may include vitamin B12, etc. to help you achieve your goals faster.

Depending on your treatment goals, other medications such as metformin may also be considered. We recognize the importance of managing side effects, so your care plan might include medication to ease symptoms like nausea. Your well-being is always our top priority!

Please note that compounded medications are customized to meet individual patient needs and are not FDA-approved for safety or effectiveness. A prescription is necessary. Results may vary from person to person.

Curex and its pharmacy partners do not have any association with Novo Nordisk.

Will I be prescribed semaglutide if I sign up?

Your health journey is unique, and we tailor our care to match. Any prescriptions, including semaglutide, will be based on the expert assessment of the medical provider matched with you through our platform. You can trust that your treatment plan will be personalized to fit your specific needs. And if semaglutide is not prescribed, we will provide a full refund.

What is compounded medication?

Compounding involves creating customized medications to meet the specific needs of individual patients. For instance, a patient may require a liquid version of a medication that is only available in tablet form. Pharmacies can also compound medications using FDA-approved drugs that are on the FDA’s shortage list.

These compounded medications are made by state-licensed pharmacies that follow both federal and state regulations, including quality standards. However, when compounded in accordance with these laws, these medications are not subject to FDA approval and are not evaluated for safety or effectiveness.

Is compounded medication the same as generic medication?

Compounded medications differ from generic drugs. Generics require FDA approval by demonstrating bio-equivalence to the brand-name drug. In contrast, compounded medications are not FDA-approved. They are made based on a personalized prescription that may not be commercially available elsewhere or when a drug appears on the FDA’s shortage list. Compounding pharmacies must have the proper licensed facilities and comply with state and federal regulations before dispensing these medications.

Is insurance required?

No, Curex doesn’t require insurance. We offer clear and simple pricing, along with affordable medication options, making it easy and accessible to take care of your health.

Can I pay with an FSA or HSA card?

Yes! You can pay with your HSA or FSA card.

How much does treatment cost?

Semaglutide Injections:

Prices for semaglutide start at only $149 per month for weekly doses of 0.25mg and 0.5mg. You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 1mg, 1.7mg and 2.4mg of semaglutide for an additional $50 per month for each plan.

Tirzepatide Injections:

Prices for tirzepatide start at only $249 per month for weekly doses of 2.5mg and 5mg of tirzepatide.You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 7.5mg, 10mg and 12.5mg of tirzepatide for an additional $100 per month for each plan.

Semaglutide Tablets:

Prices for semaglutide tablets start at only $149 per month for daily doses of 2mg. You can cancel anytime. Some people experience weight loss at this dose and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 4mg and 8mg of semaglutide daily for an additional $50 per month for each plan.

Tirzepatide Tablets:

Prices for tirzepatide start at only $199 per month for daily dosees of 3mg of tirzepatide. You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 6mg and 12 mg of tirzepatide daily for an additional $100 per month for each plan.

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. While we don’t prescribe Ozempic®* or Wegovy®* directly, we may prescribe treatments containing the same active ingredient. These medications are specially compounded for you by a licensed pharmacy to meet your specific needs.

Are video visits with a provider required?

Our providers will review your information 100% online. Depending on where you live and the specifics of your medical history, our providers may require you to have a video visit or asynchronous visit via text message. If prescribed, you’ll get unlimited online access to message your provider as needed for follow-ups, adjustments, and answers to your questions.

What states do you serve?

Currently, we do not serve Arkansas, Connecticut, and New Mexico. However, we are always working to expand our reach, so stay in touch with us at hi@getcurex.com.

Made in Webflow