Does UnitedHealthcare Cover Lantus

Explore coverage options and costs for Lantus under UnitedHealthcare, including denial reasons and FAQs. Find out how to secure Lantus coverage.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Does UnitedHealthcare Cover Lantus?

 

  • Coverage for Lantus by UnitedHealthcare generally requires prescription necessity. Most plans include insulin coverage, but it's crucial to verify specific plan details by contacting the provider or reviewing your benefit statements.
  •  

  • Typically, prior authorization may be required. This means a healthcare provider must prove the medical necessity of Lantus for your condition, ensuring it's a covered prescription under your plan.
  •  

  • Members usually are subject to copayments or coinsurance, which vary depending on your plan's tier system and whether Lantus is listed as a preferred drug.
  •  

  • To ensure coverage, use network pharmacies as specified by UnitedHealthcare and understand the step therapy protocol. This may entail trying alternative medications first unless Lantus is deemed necessary by your provider.

 

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 Lantus Coverage with UnitedHealthcare

 

Contact UnitedHealthcare Member Services

 

  • Call the number on the back of your UnitedHealthcare insurance card. This connects you with member services where you can inquire about coverage for Lantus (insulin glargine).
  •  

  • Ask if Lantus is included on the formulary list for your specific policy. This list details which medications are covered under your plan.
  •  

  • Inquire about any co-pays or specific conditions that affect coverage, such as prior authorization requirements or step therapy protocols.

 

Consult with Your Healthcare Provider

 

  • Discuss your need for Lantus with your healthcare provider. They can provide documentation and justification to support your insurance request.
  •  

  • Your provider may need to fill out a prior authorization form if required by your plan.

 

Submit Necessary Documentation

 

  • Ensure all forms and documentation from your healthcare provider are submitted to UnitedHealthcare. This may include the prior authorization form and a letter of medical necessity.
  •  

  • Track the submission to verify that UnitedHealthcare has received all required documents. Member services can confirm this information.

 

Check the UnitedHealthcare Portal

 

  • Log into the UnitedHealthcare member portal to track the status of your prior authorization request and to check on Lantus coverage details.
  •  

  • Regularly review any updates or messages related to your medication coverage request.

 

Appeal if Necessary

 

  • If your initial request for Lantus coverage is denied, check the explanation given and gather any additional documentation or information needed to support your appeal.
  •  

  • Follow the instructions provided by UnitedHealthcare for the appeal process, ensuring you meet any deadlines for appeal submissions.

 

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 Lantus

Explore coverage options and costs for Lantus under UnitedHealthcare, including denial reasons and FAQs. Find out how to secure Lantus coverage.
Curex allergy drops unboxing

Is Lantus Covered by UnitedHealthcare

 

Does UnitedHealthcare Cover Lantus?

 

  • Coverage for Lantus by UnitedHealthcare generally requires prescription necessity. Most plans include insulin coverage, but it's crucial to verify specific plan details by contacting the provider or reviewing your benefit statements.
  •  

  • Typically, prior authorization may be required. This means a healthcare provider must prove the medical necessity of Lantus for your condition, ensuring it's a covered prescription under your plan.
  •  

  • Members usually are subject to copayments or coinsurance, which vary depending on your plan's tier system and whether Lantus is listed as a preferred drug.
  •  

  • To ensure coverage, use network pharmacies as specified by UnitedHealthcare and understand the step therapy protocol. This may entail trying alternative medications first unless Lantus is deemed necessary by your provider.

 

A weight management program tailored to you

Start with Curex

UnitedHealthcare's Approved Criteria for Lantus Coverage

 

Coverage Criteria for Lantus under UnitedHealthcare

 

  • Lantus is covered for patients with a confirmed diagnosis of Type 1 or Type 2 Diabetes Mellitus.
  •  

  • Patients must have documented evidence of the necessity for long-acting insulin therapy as determined by their healthcare provider.
  •  

  • Coverage applies to adult patients requiring daily insulin for glucose level management that cannot be effectively managed with other forms of insulin.
  •  

  • Children over the age of six with diabetes who have an established need for basal insulin therapy to control hyperglycemia are eligible for Lantus coverage.
  •  

  • Patients must demonstrate previous use of other basal insulins with inadequate glucose control, confirming Lantus is necessary for optimal management.
  •  

  • Provider documentation must present the specific need for Lantus over alternative treatment options based on trial and failure or intolerance.
  •  

  • When appropriate, continuation of therapy may be based on documented analysis of improved glycemic control markers, such as HbA1c levels, post-initiation of Lantus treatment.
  •  

  • The prescribed amount must align with the UnitedHealthcare quantity limits unless extenuating circumstances are documented by the healthcare provider.
  •  

  • A comprehensive treatment plan showing Lantus as a component of an integrated diabetes management program is required, including diet and exercise interventions.

 

Why UnitedHealthcare Might Deny Lantus Coverage

 

Non-Formulary Status

 

  • Lantus may be classified as a non-formulary drug under specific health plans or tiers. If a plan does not list Lantus on its formulary, coverage will likely be denied unless an exception is granted.

 

Prior Authorization Requirements

 

  • If prior authorization is required but not obtained, UnitedHealthcare may deny coverage for Lantus. This requirement ensures that Lantus is medically necessary and that other options have been considered.

 

Step Therapy Protocols

 

  • Coverage might be denied if the member has not tried other preferred, cost-effective alternatives before using Lantus, as part of a step therapy protocol.

 

Lack of Medical Necessity

 

  • The insurer may deny Lantus if it is determined that the medication is not medically necessary according to their clinical guidelines and criteria.

 

Exceeding Quantity Limits

 

  • Claims may be denied if the prescription exceeds the quantity limits set by UnitedHealthcare without prior approval or justification.

 

Use for Non-FDA Approved Indications

 

  • Coverage may be denied for any use of Lantus that is not approved by the FDA. UnitedHealthcare typically covers medications for FDA-approved uses only.

 

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

How Much Does Lantus Cost without Insurance?

 

Cost of Lantus Without Insurance

 

  • The price of Lantus (insulin glargine) without insurance can vary based on factors such as the pharmacy, location, and available discounts. Typically, the retail price ranges between $250 and $350 for a 10ml vial at a retail pharmacy.
  •  

  • For the Lantus SoloStar pen, which is a more convenient option for some, the price is generally similar, ranging from $400 to $500 for a pack of five pens.
  •  

  • Prices can fluctuate slightly, so it is advisable to check with local pharmacies or online services for the most current prices and potential savings options.
  •  

  • Consider exploring patient assistance programs offered by the manufacturer or third-party organizations, which might offer Lantus at reduced prices or even for free if you qualify based on income.

 

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 Lantus Coverage with UnitedHealthcare

 

Contact UnitedHealthcare Member Services

 

  • Call the number on the back of your UnitedHealthcare insurance card. This connects you with member services where you can inquire about coverage for Lantus (insulin glargine).
  •  

  • Ask if Lantus is included on the formulary list for your specific policy. This list details which medications are covered under your plan.
  •  

  • Inquire about any co-pays or specific conditions that affect coverage, such as prior authorization requirements or step therapy protocols.

 

Consult with Your Healthcare Provider

 

  • Discuss your need for Lantus with your healthcare provider. They can provide documentation and justification to support your insurance request.
  •  

  • Your provider may need to fill out a prior authorization form if required by your plan.

 

Submit Necessary Documentation

 

  • Ensure all forms and documentation from your healthcare provider are submitted to UnitedHealthcare. This may include the prior authorization form and a letter of medical necessity.
  •  

  • Track the submission to verify that UnitedHealthcare has received all required documents. Member services can confirm this information.

 

Check the UnitedHealthcare Portal

 

  • Log into the UnitedHealthcare member portal to track the status of your prior authorization request and to check on Lantus coverage details.
  •  

  • Regularly review any updates or messages related to your medication coverage request.

 

Appeal if Necessary

 

  • If your initial request for Lantus coverage is denied, check the explanation given and gather any additional documentation or information needed to support your appeal.
  •  

  • Follow the instructions provided by UnitedHealthcare for the appeal process, ensuring you meet any deadlines for appeal submissions.

 

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.

Lantus FAQ

What is Lantus used for?

 

What is Lantus Used For?

 

  • Lantus is primarily used to manage blood sugar levels in individuals with type 1 and type 2 diabetes.
  •  

  • It is a long-acting insulin, providing a steady release of insulin over a 24-hour period with no pronounced peak, mimicking natural insulin secretion.
  •  

  • It's taken once daily, often at the same time each day, helping to maintain consistent blood glucose control.
  •  

  • Beneficial for patients requiring basal insulin to prevent hyperglycemia between meals and overnight.
  •  

  • Alongside diet and exercise, Lantus is vital for comprehensive diabetes management.

 

How does Lantus work in the body?

 

How Lantus Works

 

  • Lantus is a long-acting insulin, also known as insulin glargine. It provides a stable and continuous release of insulin to control blood sugar levels.
  •  

  • The formulation of Lantus enables it to dissolve slowly upon injection, creating a slow and steady insulin level that lasts up to 24 hours.
  •  

  • This minimizes the risk of blood sugar peaks and troughs, providing more consistent blood glucose management.
  •  

  • Lantus mimics the basal level of insulin production in the pancreas, thus helping to maintain glucose balance between meals and overnight.
  •  

  • It binds to insulin receptors, facilitating glucose uptake into muscle and fat tissues, while inhibiting hepatic glucose production.

 

What are the side effects of Lantus?

 

Common Side Effects

 

  • Injection site reactions such as redness, swelling, or itching can occur.
  • Hypoglycemia, or low blood sugar, is a frequent side effect.
  • Weight gain may happen due to improved glucose utilization.

 

Less Common Side Effects

 

  • Allergic reactions like rash or itching may occur but are rare.
  • Systemic reactions such as swelling of hands/feet can occur.
  • Visual changes might be experienced during initial treatment.

 

Serious Side Effects

 

  • Severe hypoglycemia requiring intervention.
  • Signs of allergic reactions like difficulty breathing, require immediate attention.
  • Hypokalemia may develop, leading to muscle weakness or cramps.

 

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