Does WellCare Cover Plavix

Explore WellCare's coverage for Plavix, reasons for denial, steps to secure coverage, out-of-pocket costs, and answers to common questions in this comprehensive guide.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

WellCare Coverage for Plavix

 

  • Check if Plavix is on WellCare's formulary list. Coverage depends on the specific plan and formulary tier.
  •  

  • It's often covered under Medicare Part D plans. Confirm the medication is part of the prescription drug plan.
  •  

  • Out-of-pocket costs depend on the pharmacy network, the deductibles, co-pays, and the medication's tier.
  •  

  • WellCare may require prior authorization before covering Plavix. Ensure your doctor provides necessary documentation.
  •  

  • Step therapy could be required. Patients might need to try other medications first unless supported by medical necessity.
  •  

  • Coverage is subject to changes annually. Review formulary updates each year to understand continuing coverage conditions.

 

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 Plavix Coverage with WellCare

 

Check Your WellCare Plan

 

  • Before proceeding, review your WellCare plan documents or contact the customer service to confirm that Plavix (clopidogrel) is part of your prescription drug coverage.
  •  

  • This information can usually be found in the formulary, which is a list of medications covered by your plan.

 

Contact WellCare Customer Service

 

  • Call the number on the back of your insurance card to speak with WellCare customer service representatives.
  •  

  • They can provide you with specific details about your coverage and any steps you need to take to ensure Plavix is covered under your plan.

 

Get a Prescription from Your Doctor

 

  • Obtain a prescription for Plavix from your healthcare provider.
  •  

  • Ensure that your doctor knows you have WellCare, so they can prescribe the medication in a way that maximizes your coverage benefits.

 

Check for Prior Authorization Requirements

 

  • Some medications require prior authorization from WellCare before they are covered.
  •  

  • Ask your doctor to submit any necessary paperwork to WellCare if prior authorization is needed for Plavix.

 

Use a Preferred Pharmacy

 

  • Fill your prescription for Plavix at a pharmacy that is part of WellCare's preferred network to ensure you receive the best pricing and coverage.
  •  

  • Confirm with WellCare or check their website to identify participating pharmacies.

 

Explore Cost-Saving Options

 

  • Ask about generic alternatives or WellCare's tiered pricing structure for medications, which might offer cost-saving opportunities.
  •  

  • Inquire if there are any assistance programs WellCare offers for medications like Plavix to reduce out-of-pocket expenses.

 

Monitor Your Coverage

 

  • Regularly review your WellCare account statements or online portal to ensure Plavix is being covered as expected.
  •  

  • Report any discrepancies or issues to WellCare immediately to prevent future problems.

 

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 WellCare Cover Plavix

Explore WellCare's coverage for Plavix, reasons for denial, steps to secure coverage, out-of-pocket costs, and answers to common questions in this comprehensive guide.
Curex allergy drops unboxing

Is Plavix Covered by WellCare

 

WellCare Coverage for Plavix

 

  • Check if Plavix is on WellCare's formulary list. Coverage depends on the specific plan and formulary tier.
  •  

  • It's often covered under Medicare Part D plans. Confirm the medication is part of the prescription drug plan.
  •  

  • Out-of-pocket costs depend on the pharmacy network, the deductibles, co-pays, and the medication's tier.
  •  

  • WellCare may require prior authorization before covering Plavix. Ensure your doctor provides necessary documentation.
  •  

  • Step therapy could be required. Patients might need to try other medications first unless supported by medical necessity.
  •  

  • Coverage is subject to changes annually. Review formulary updates each year to understand continuing coverage conditions.

 

A weight management program tailored to you

Start with Curex

WellCare's Approved Criteria for Plavix Coverage

 

Plavix Coverage Under WellCare

 

  • Plavix is approved for individuals diagnosed with Acute Coronary Syndrome (ACS) who require antiplatelet therapy as part of their treatment.
  •  

  • Coverage includes patients who have undergone Percutaneous Coronary Intervention (PCI) with stent placement to reduce the risk of thrombotic events.
  •  

  • Plavix is covered for individuals with a history of recent Myocardial Infarction (MI) for ensuring long-term antiplatelet therapy as recommended by medical guidelines.
  •  

  • Individuals with established Peripheral Artery Disease (PAD) are eligible for Plavix coverage to prevent atherothrombotic events.
  •  

  • Patients who have experienced recent Ischemic Stroke may be covered for Plavix to prevent future cerebrovascular accidents.
  •  

  • In cases where Aspirin is contraindicated or not tolerated, Plavix may be covered as an alternative antiplatelet therapy.
  •  

  • WellCare may approve Plavix for patients requiring combination therapy with Aspirin for dual antiplatelet needs, as determined by a healthcare provider.

 

Why WellCare Might Deny Plavix Coverage

 

Reasons for WellCare Denial of Plavix Coverage

 

  • Non-Formulary Medication: Plavix might not be included in WellCare's formulary list, which is a list of drugs that the insurance plan covers. If it's not on this list, coverage may be denied.
  •  

  • Lack of Medical Necessity: If WellCare determines that Plavix is not medically necessary based on the information provided by the healthcare provider or fails to meet specific health plan criteria, they may deny coverage.
  •  

  • Generic Alternatives: WellCare may deny coverage if there is a generic alternative to Plavix that is deemed equally effective but more cost-effective, and the prescriber did not authorize the brand-name dispensation as medically necessary.
  •  

  • Prior Authorization Required: Coverage may be denied if prior authorization is required and not obtained, meaning that WellCare has not given preapproval for the medication based on clinical criteria and medical documentation.
  •  

  • Quantity Limits: If a prescription exceeds the set quantity limits established by WellCare without proper justification, coverage may not be provided.
  •  

  • Out-of-Network Providers: If the prescription is provided by an out-of-network pharmacy and the plan does not cover out-of-network services, coverage may be denied unless it's an emergency situation.
  •  

  • Duplicate Therapy: If Plavix is prescribed in conjunction with other medications deemed duplicate in therapy, coverage may be denied unless sufficient justification is offered.

 

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

How Much Does Plavix Cost without Insurance?

 

Approximate Cost of Plavix Without Insurance

 

  • The cost of Plavix, or its generic version clopidogrel, can vary widely depending on the pharmacy and geographical location.
  •  

  • Brand-name Plavix typically costs between $150 to $300 for a 30-day supply at retail prices.
  •  

  • The generic clopidogrel is significantly cheaper, often ranging from $5 to $50 for a 30-day supply when purchased without insurance.
  •  

  • Pricing may fluctuate based on factors such as dosage strength, promotions, or pharmacy discount programs.
  •  

  • Online or mail-order pharmacies might offer additional savings, in comparison to local pharmacies.

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 Plavix Coverage with WellCare

 

Check Your WellCare Plan

 

  • Before proceeding, review your WellCare plan documents or contact the customer service to confirm that Plavix (clopidogrel) is part of your prescription drug coverage.
  •  

  • This information can usually be found in the formulary, which is a list of medications covered by your plan.

 

Contact WellCare Customer Service

 

  • Call the number on the back of your insurance card to speak with WellCare customer service representatives.
  •  

  • They can provide you with specific details about your coverage and any steps you need to take to ensure Plavix is covered under your plan.

 

Get a Prescription from Your Doctor

 

  • Obtain a prescription for Plavix from your healthcare provider.
  •  

  • Ensure that your doctor knows you have WellCare, so they can prescribe the medication in a way that maximizes your coverage benefits.

 

Check for Prior Authorization Requirements

 

  • Some medications require prior authorization from WellCare before they are covered.
  •  

  • Ask your doctor to submit any necessary paperwork to WellCare if prior authorization is needed for Plavix.

 

Use a Preferred Pharmacy

 

  • Fill your prescription for Plavix at a pharmacy that is part of WellCare's preferred network to ensure you receive the best pricing and coverage.
  •  

  • Confirm with WellCare or check their website to identify participating pharmacies.

 

Explore Cost-Saving Options

 

  • Ask about generic alternatives or WellCare's tiered pricing structure for medications, which might offer cost-saving opportunities.
  •  

  • Inquire if there are any assistance programs WellCare offers for medications like Plavix to reduce out-of-pocket expenses.

 

Monitor Your Coverage

 

  • Regularly review your WellCare account statements or online portal to ensure Plavix is being covered as expected.
  •  

  • Report any discrepancies or issues to WellCare immediately to prevent future problems.

 

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.

Plavix FAQ

1. What is Plavix used for?

 

Uses of Plavix

 

  • Plavix, known generically as clopidogrel, is primarily used as an antiplatelet medication.
  •  

  • It helps prevent blood clots, reducing the risk of stroke and heart attack in individuals with cardiovascular conditions.
  •  

  • Often prescribed post-heart attack or stroke, it is also beneficial for patients with peripheral artery disease.
  •  

    Mechanism of Action

     

    • Plavix inhibits platelet aggregation by irreversibly binding to the P2Y12 receptor on platelets.
    •  

    • This action prevents the platelets from clumping together, reducing clot formation in blood vessels.

     

    Considerations

     

    • Plavix is typically taken orally, once a day, with or without food.
    •  

    • Regular monitoring and consultation with a healthcare provider are recommended to ensure its effectiveness and manage potential side effects.

     

2. What are the side effects of Plavix?

 

Common Side Effects of Plavix

 

  • Bleeding symptoms, such as nosebleeds or bleeding gums, are among the most frequent side effects.
  • Some individuals may experience bruising more easily than usual.

 

Less Common Side Effects

 

  • Severe allergic reactions can occur, including skin rash or itching.
  • It's possible to develop gastrointestinal issues like indigestion or abdominal pain.

 

Rare but Serious Side Effects

 

  • In rare instances, patients might experience thrombotic thrombocytopenic purpura—a serious condition affecting blood clotting.
  • Liver function abnormalities, represented by symptoms like jaundice, can also occur.

 

Precautionary Measures

 

  • Always consult a healthcare provider for symptoms that appear unexpectedly.
  • Report any unusual bleeding or symptoms to a doctor promptly.

 

3. Can I take Plavix with aspirin?

 

Combining Plavix and Aspirin

 

  • **Plavix (clopidogrel)** and **aspirin** are both antiplatelet medications. They reduce the risk of clots, lowering the chance of heart attacks or strokes.
  •  

  • This combination can enhance antiplatelet effects but raises bleeding risk.

 

Consult with Your Doctor

 

  • Your healthcare provider will evaluate your risk factors and decide if this combination benefits you.
  •  

  • Contact your doctor if unexplained bruising, prolonged bleeding, or unusual weakness occurs.

 

Special Circumstances

 

  • In certain conditions like acute coronary syndrome or after stent placement, combined use is common but should always be under medical supervision.

 

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