an individual must be monitored by a healthcare provider while administering the medication and for at … Explore our new Claims and Eligibility page for everything you need to know about claims. In Connecticut: Anthem Health Plans, Inc. The Blue Cross Blue Shield (BCBS), Medicare, and Aetna are some of the insurances that are currently covering Spravato treatment. SPRAVATO ® is a prescription medicine, used along with an antidepressant taken by mouth to treat: . Legend: $ = under $100, $$ = $100-$250, $$$ = $251-$500, $$$$ = $501-$1,000, $$$$$ = over $1,000, A = drug not subject to medical deductible or member cost share, * = drug may require prior authorization in order to be Before starting treatment, our benefits verification team will determine eligibility and benefits with your insurance, including any out of … In Indiana: Anthem Insurance Companies, Inc. This information is intended only for use of the individual or entity named above. Adults with treatment-resistant depression (TRD) Depressive symptoms in adults with major depressive disorder (MDD) with suicidal thoughts or actions A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. You are leaving our website and going to a website/app not hosted by us. Description. Independent licensee of the Blue Cross and Blue Shield Anthem Blue Cross and Blue Shield Commercial Professional Reimbursement Policy IN, KY, WI, 0016 Frequency Editing Page 1 of 13 Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for Spravato (esketamine) when it is determined to be medically necessary because the criteria shown below are met. Esketamine (Spravato TM) is the S-isomer of racemic ketamine and is an antidepressant which is a non-selective, non-competitive antagonist of the N-methyl-D-aspartate (NMDA) receptor (an ionotropic glutamate receptor).Due to adverse events (sedation, dissociation, etc.) Confidentiality notice: This transmission contains confidential information belonging to the sender that is legally privileged. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Title: Microsoft Word - 2019 Spravato (esketamine) Blue Cross and Blue Shield of Texas Medical Drug Benefit List This list is subject to change without notification. Visit Premera Facebook page Visit Premera Twitter page Visit Premera Youtube page Visit Premera LinkedIn page The effort aims to bring patients quicker access to innovative medical devices that are safe and effective. Blue Cross Blue Shield /Blue Care Network of Michigan Medication Authorization Request Form. It will open in a new window. Spravato ™ (esketamine) will ... Bl ue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Adults with treatment-resistant depression (TRD) Depressive symptoms in adults with major depressive disorder (MDD) with suicidal thoughts or actions Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. CLICK THE ENVELOPE ICON BELOW TO SUBMIT COMMENTS . Blue Cross Blue Shield of Oklahoma is committed to giving health care providers the support and assistance they need. The host of this website/app may or may not be a vendor of ours. 877-CarePath (877-227-3728) SPRAVATO ® is a prescription medicine, used along with an antidepressant taken by mouth to treat: . This link will take you to a new site not affiliated with BCBSOK. Spravato (esketamine) Policy Number: 5.01.702 Last Review: 08/2020 Origination: 09/2019 Next Review: 08/2021 . CHICAGO – Blue Cross Blue Shield Association (BCBSA) today announced its participation in a Federal Drug Administration (FDA) initiative for private payers to advise medical device manufacturers when they design clinical studies.
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