Does WellCare Cover Eliquis

Explore why WellCare might deny Eliquis coverage, how to secure it, costs without insurance, and get answers to common questions in our comprehensive guide.
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Does WellCare Cover Eliquis?

 

  • WellCare, a Medicare Advantage plan, may cover Eliquis under its formulary, but the coverage specifics can vary based on the plan chosen.
  •  

  • Coverage often includes cases of preventing strokes in patients with atrial fibrillation and treating deep vein thrombosis or pulmonary embolism.
  •  

  • For Eliquis to be covered, patients typically need to follow WellCare's guidelines, which may include prior authorization or step therapy.
  •  

  • Patients should check their specific plan's drug formulary or contact WellCare customer service to verify coverage details and requirements.
  •  

  • Co-payment or coinsurance costs may apply depending on the plan’s tier structure for medications.

 

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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 Eliquis Coverage with WellCare

 

Initial Research and Plan

 

  • Visit the WellCare website to gather information about the plans they offer that might cover Eliquis. Familiarize yourself with different plan types, such as Medicare Advantage or Medicare Part D.
  •  

  • Review the formulary (drug list) on the WellCare website to ensure Eliquis is included. Formularies can change annually, so make sure to reference the most current document.
  •  

  • Read the plan’s benefits and any associated costs, such as copayments, coinsurance, and deductibles related to prescription drugs.
  •  

 

Contact WellCare

 

  • Call WellCare’s customer service to ask specific questions about Eliquis coverage. Take note of any relevant details or suggestions provided by their representatives.
  •  

  • Inquire about any special requirements for coverage, such as prior authorization or step therapy, that you need to complete for Eliquis.

 

Review Your Current Prescription Coverage

 

  • Evaluate your current prescription drug coverage. Consider how changing plans to a WellCare plan could affect your overall healthcare costs and coverage.
  •  

  • Check if your existing Medicare or Medicare Advantage plan covers Eliquis and compare it with the WellCare options.

 

Enroll in a WellCare Plan

 

  • Once you've selected a suitable WellCare plan that includes Eliquis, proceed with the enrollment process. This can typically be done online, by phone, or by submitting a paper application.
  •  

  • Ensure all personal and necessary details are accurately filled out to avoid any delays in your enrollment process.

 

Verify Coverage Start

 

  • After enrollment, verify when your new WellCare coverage begins. Understanding the start date is crucial for uninterrupted access to Eliquis.
  •  

  • Receive confirmation documents from WellCare. Look for your new insurance card and detailed plan documents in the mail.

 

Fill Your Eliquis Prescription

 

  • With your active WellCare plan, visit a participating pharmacy to fill your Eliquis prescription. Ensure the pharmacy is within WellCare's network to maximize benefits.
  •  

  • Provide your WellCare insurance details to the pharmacist and confirm that they have processed it according to your plan’s coverage guidelines.

 

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FAQs

Does WellCare Cover Eliquis

Explore why WellCare might deny Eliquis coverage, how to secure it, costs without insurance, and get answers to common questions in our comprehensive guide.
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Is Eliquis Covered by WellCare

 

Does WellCare Cover Eliquis?

 

  • WellCare, a Medicare Advantage plan, may cover Eliquis under its formulary, but the coverage specifics can vary based on the plan chosen.
  •  

  • Coverage often includes cases of preventing strokes in patients with atrial fibrillation and treating deep vein thrombosis or pulmonary embolism.
  •  

  • For Eliquis to be covered, patients typically need to follow WellCare's guidelines, which may include prior authorization or step therapy.
  •  

  • Patients should check their specific plan's drug formulary or contact WellCare customer service to verify coverage details and requirements.
  •  

  • Co-payment or coinsurance costs may apply depending on the plan’s tier structure for medications.

 

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WellCare's Approved Criteria for Eliquis Coverage

 

Eligibility Criteria for Eliquis Coverage

 

  • Individuals diagnosed with atrial fibrillation (AF) who meet the criteria established by WellCare for stroke and systemic embolism prevention.
  •  

  • Patients who require Eliquis for the treatment of deep vein thrombosis (DVT) or pulmonary embolism (PE) and meet all of the WellCare-specified clinical guidelines and medical necessity.
  •  

  • Members with a history of recurrent DVT or PE are covered when continuing Eliquis treatment is deemed necessary by the healthcare provider and aligns with WellCare's approved protocols.
  •  

  • Eligibility includes individuals recommended for anticoagulation therapy following hip or knee replacement surgery, adhering to WellCare's specific coverage guidelines post-surgery.
  •  

  • Coverage extends to situations where Eliquis is recommended due to documented intolerance or contraindications to alternative anticoagulant medications, as per WellCare's criteria.
  •  

  • Pre-authorization may be required for coverage, with necessary documentation including detailed patient history, previous medication trials, and current physician recommendations.

 

Why WellCare Might Deny Eliquis Coverage

 

Exclusion from Formulary

 

  • Eliquis is not included in WellCare's formulary list, meaning it is not a preferred or covered drug under certain plans unless specific requirements are met.

 

Lack of Prior Authorization

 

  • WellCare may deny coverage for Eliquis if prior authorization is required but not obtained. This means the provider must justify the medical necessity of Eliquis before the insurance agrees to cover it.

 

Generic Alternatives Available

 

  • If WellCare offers coverage for a generic version of a drug instead of Eliquis, claims for Eliquis might be denied in favor of the less expensive generic alternative.

 

Non-Medical Diagnosis

 

  • Coverage for Eliquis might be denied if the medication is prescribed for a non-approved condition or diagnosis that does not meet WellCare's criteria for medical necessity.

 

Out-of-Network Pharmacy

 

  • Prescriptions filled at an out-of-network pharmacy could result in denial of coverage for Eliquis, as WellCare often requires the use of in-network pharmacies to cover prescription drugs.

 

Policy Limitations or Exclusions

 

  • Certain individual policy limitations or exclusions might result in denial of coverage for Eliquis, even if the medication would typically be covered under different circumstances.

 

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How Much Does Eliquis Cost without Insurance?

 

Approximate Cost of Eliquis without Insurance

 

  • The cost of Eliquis, a commonly prescribed blood thinner, can vary based on the pharmacy, location, and any available discounts or coupons. On average, without insurance, Eliquis can cost around $550 to $650 for a 30-day supply.
  •  

  • Some pharmacies or online platforms may offer discounts or generic options that can lower the cost, so it's advisable to shop around. Patients should also inquire about manufacturer coupons or assistance programs that might help reduce the price.
  •  

  • Price comparison tools and websites can be helpful in finding the best available prices for Eliquis in your area.

 

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 Eliquis Coverage with WellCare

 

Initial Research and Plan

 

  • Visit the WellCare website to gather information about the plans they offer that might cover Eliquis. Familiarize yourself with different plan types, such as Medicare Advantage or Medicare Part D.
  •  

  • Review the formulary (drug list) on the WellCare website to ensure Eliquis is included. Formularies can change annually, so make sure to reference the most current document.
  •  

  • Read the plan’s benefits and any associated costs, such as copayments, coinsurance, and deductibles related to prescription drugs.
  •  

 

Contact WellCare

 

  • Call WellCare’s customer service to ask specific questions about Eliquis coverage. Take note of any relevant details or suggestions provided by their representatives.
  •  

  • Inquire about any special requirements for coverage, such as prior authorization or step therapy, that you need to complete for Eliquis.

 

Review Your Current Prescription Coverage

 

  • Evaluate your current prescription drug coverage. Consider how changing plans to a WellCare plan could affect your overall healthcare costs and coverage.
  •  

  • Check if your existing Medicare or Medicare Advantage plan covers Eliquis and compare it with the WellCare options.

 

Enroll in a WellCare Plan

 

  • Once you've selected a suitable WellCare plan that includes Eliquis, proceed with the enrollment process. This can typically be done online, by phone, or by submitting a paper application.
  •  

  • Ensure all personal and necessary details are accurately filled out to avoid any delays in your enrollment process.

 

Verify Coverage Start

 

  • After enrollment, verify when your new WellCare coverage begins. Understanding the start date is crucial for uninterrupted access to Eliquis.
  •  

  • Receive confirmation documents from WellCare. Look for your new insurance card and detailed plan documents in the mail.

 

Fill Your Eliquis Prescription

 

  • With your active WellCare plan, visit a participating pharmacy to fill your Eliquis prescription. Ensure the pharmacy is within WellCare's network to maximize benefits.
  •  

  • Provide your WellCare insurance details to the pharmacist and confirm that they have processed it according to your plan’s coverage guidelines.

 

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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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Eliquis FAQ

What are the side effects of Eliquis?

 

Common Side Effects of Eliquis

 

  • Mild bleeding or bruising due to its anticoagulant effect.
  • Nausea, which may occur as your body adjusts to the medication.
  • Skin rash or minor allergic reactions.
  • Fatigue or general weakness.

 

Serious Side Effects

 

  • Severe bleeding, including unusual bleeding from gums, nosebleeds, or heavier than usual menstrual bleeding.
  • Red, pink, or brown urine and black or bloody stools indicating internal bleeding.
  • Severe headache, dizziness, or fainting, which could indicate a bleed in the brain.
  • Signs of anemia, such as pale skin, weakness, or fatigue.

 

Consult Your Doctor

 

  • Always report any unusual symptoms to your healthcare provider promptly.
  • Seek emergency medical attention for significant bleeding or symptoms of a serious allergic reaction like difficulty breathing.

 

Is Eliquis a blood thinner?

 

Is Eliquis a Blood Thinner?

 

  • Yes, Eliquis (apixaban) is a blood thinner, also known as an anticoagulant.
  •  

  • It prevents blood clots by inhibiting Factor Xa, which is crucial in the clotting process.
  •  

  • Doctors prescribe Eliquis to reduce stroke risk in patients with atrial fibrillation and to treat or prevent deep vein thrombosis (DVT) and pulmonary embolism (PE).
  •  

  • Ensure regular monitoring and follow-ups with your healthcare provider while on Eliquis for safe management.
  •  

  • Contact a healthcare professional if you have concerns about bleeding risks or interactions with other medications.

 

Can you take Eliquis with alcohol?

 

Alcohol and Eliquis Interaction

 

  • Moderate alcohol consumption might be safe, but heavy drinking can increase bleeding risk.
  •  

  • Consult your healthcare provider to assess your specific condition and alcohol tolerance.

 

Potential Effects of Combining

 

  • Both Eliquis and alcohol affect blood clotting, raising potential for heightened bleeding.
  •  

  • Alcohol can augment Eliquis' effects, complicating the management of conditions like atrial fibrillation.

 

Recommendations for Use

 

  • If you drink, limit to one or two standard drinks occasionally and monitor for bruising or bleeding.
  •  

  • Report any unusual symptoms to your healthcare provider immediately.

 

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

Additional Treatments

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

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Do your plans include prescriptions and medications?

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

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

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

What medications do your providers prescribe?

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

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

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

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

Will I be prescribed semaglutide if I sign up?

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

What is compounded medication?

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

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

Is compounded medication the same as generic medication?

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

Is insurance required?

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

Can I pay with an FSA or HSA card?

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

How much does treatment cost?

Semaglutide Injections:

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

Tirzepatide Injections:

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

Semaglutide Tablets:

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

Tirzepatide Tablets:

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

Can you prescribe Ozempic®* or Wegovy®*?

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

Are video visits with a provider required?

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

What states do you serve?

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

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