Do Medicare prescription drug plans cover Contrave? No. In general, Medicare prescription drug plans (Part D) do not cover this drug. Be sure to contact your specific plan to verify coverage information.
Full Answer
Does Medicare Part D cover Contrave?
Do Medicare prescription drug plans cover Contrave? No. In general, Medicare prescription drug plans (Part D) do not cover this drug. Be sure to contact your specific plan to verify coverage information. A limited set of drugs administered in a doctor's office or hospital outpatient setting may be covered under Medical Insurance (Part B).
Where can I find information about Medicare Part D drug coverage?
Please check your pharmacy benefit or with your pharmacy to see if it is covered. If not, you may wish to discuss other coverage options with your healthcare provider. If your insurance does not cover CONTRAVE, you can still find savings through the CurAccess Program. Sign up today and pay $99 a month* for CONTRAVE & get FREE Shipping. †
Will My Medicare or Tricare coverage status change if I use Contrave?
Jan 02, 2022 · Medicare has a 100-day limit on skilled nursing, and CFL will be the primary payer after that 100-day limit, but will not cover the full amount. Co-payment in the amount of $150 …
Does Medicare cover this drug?
Medicare Drug Coverage (Part D) Optional benefits for prescription drugs available to all people with Medicare for an additional charge. This coverage is offered by insurance companies and …
How do I get insurance approval for Contrave?
You can save on Contrave by appealing (requesting a special exception) for insurance coverage, using a GoodRx coupon, or joining a savings program offered by the medication's manufacturer. Asking your provider for weight loss pills is the first step in finding out about affordable medication options.Mar 25, 2022
What is the cheapest way to get Contrave?
You can use the CONTRAVE Coupon Savings Card Program at your local pharmacy. If your insurance covers CONTRAVE, you may pay as low as $20. If you don't have insurance or if your insurance doesn't cover CONTRAVE, you will pay no more than $199.
Which medication would not be covered under Medicare Part D?
For example, vaccines, cancer drugs, and other medications you can't give yourself (such as infusion or injectable prescription drugs) aren't covered under Medicare Part D, so a stand-alone Medicare Prescription Drug Plan will not pay for the costs for these medications.
Is there an alternative to Contrave?
Phentermine is the name of a generic prescription drug used for weight loss. Its most common brand name is Adipex-P. Like Contrave, phentermine should be employed along with diet and exercise.Nov 3, 2021
What foods should I avoid while taking Contrave?
If you decide to take Contrave with meals, note that you should avoid eating high fat meals with this drug. Taking Contrave with high fat meals increases the level of the drug in your body. This may lead to increased side effects.Sep 26, 2021
Is Wellbutrin the same as Contrave?
CONTRAVE contains bupropion, the same active ingredient as some other antidepressant medications (including, but not limited to, WELLBUTRIN, WELLBUTRIN SR, WELLBUTRIN XL, and APLENZIN). Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term trials.
What is not covered by Part D?
Medicare Part D plans cover many, but not all, types of prescription drug. A person can check a plan provider's formulary to make sure that their required medication is available. Usually, Part D plans do not cover drugs for weight management, erectile dysfunction, or fertility.Jan 29, 2021
What drugs does Part D cover?
All Part D plans must include at least two drugs from most categories and must cover all drugs available in the following categories:HIV/AIDS treatments.Antidepressants.Antipsychotic medications.Anticonvulsive treatments for seizure disorders.Immunosuppressant drugs.Anticancer drugs (unless covered by Part B)
What is the most popular Medicare Part D plan?
Best-rated Medicare Part D providersRankMedicare Part D providerMedicare star rating for Part D plans1Kaiser Permanente4.92UnitedHealthcare (AARP)3.93BlueCross BlueShield (Anthem)3.94Humana3.83 more rows•Mar 16, 2022
Which is better belviq or Contrave?
Belviq vs. Contrave results in the same amount of weight loss as Belviq, but has more side effects, including nausea, headache, and dizziness. Contrave also does not have the long-term heart safety data that Belviq has.Mar 25, 2019
What is the most effective weight loss prescription?
Phentermine-Topiramate extended release (Qsymia) is the most effective weight loss drug available to date. It combines an adrenergic agonist with a neurostabilizer. Daily doses with four strengths start at 3.75/23mg to 15mg/92mg.Jul 31, 2018
What's the generic for Contrave?
Contrave (naltrexone / bupropion) is a combination of two medications. Naltrexone is an opioid antagonist, and bupropion is a dopamine and norepinephrine reuptake inhibitor. They work together on parts of your brain responsible for appetite control and the reward system to manage your food cravings.
How to get prescription drug coverage
Find out how to get Medicare drug coverage. Learn about Medicare drug plans (Part D), Medicare Advantage Plans, more. Get the right Medicare drug plan for you.
What Medicare Part D drug plans cover
Overview of what Medicare drug plans cover. Learn about formularies, tiers of coverage, name brand and generic drug coverage. Official Medicare site.
How Part D works with other insurance
Learn about how Medicare Part D (drug coverage) works with other coverage, like employer or union health coverage.
Treatment Of Severe Medical Conditions: Exception Patient Program
The public plan covers certain prescription drugs, notably, those not on the List of medications, for insured persons with an exceptional need. In such case, your health professional, for instance, your physician, will send us an authorization request so that you may qualify for this program.
The Above Policy Is Based On The Following References
Abell TL, Minocha A, Abidi N. Looking to the future: Electrical stimulation for obesity. Am J Med Sci. 2006 331:226-232.
Warnings Of Contrave And Phentermine
Before taking a weight-loss medication, talk to your doctor about all of the medical conditions you have, and all of the medications you take, so your doctor can determine if a weight-loss medication is safe for you.
How Well Do Weight
Weight-loss medicines are used along with healthy eating and being more active. Without those lifestyle changes, you will gain the weight back if you stop taking the medicine. Many people regain the weight they lost after they quit taking the medicines.
Some Medicare Advantage Plans Offer Silversneakers Or Silver And Fit Memberships
Many Medicare Advantage plans cover the cost of membership to the SilverSneakers program or to a similar health program called Silver& Fit.
How Much Do They Cost
Weight-loss medicines can range in cost. But they can be expensive. If you and your doctor have decided that you need a weight-loss medicine, make sure you know how much you will have to pay.
Utilization Management: Prior Authorization Step Therapy And Quantity Limits
For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. These requirements and limits ensure that our members use these drugs in the safest, most effective way and also help us control drug plan costs.
What is Part B covered by Medicare?
Here are some examples of drugs Part B covers: Drugs used with an item of durable medical equipment (DME) : Medicare covers drugs infused through DME, like an infusion pump or a nebulizer, if the drug used with the pump is reasonable and necessary.
What happens if you get a drug that Part B doesn't cover?
If you get drugs that Part B doesn’t cover in a hospital outpatient setting, you pay 100% for the drugs, unless you have Medicare drug coverage (Part D) or other drug coverage. In that case, what you pay depends on whether your drug plan covers the drug, and whether the hospital is in your plan’s network. Contact your plan to find out ...
How long does Medicare cover after kidney transplant?
If you're entitled to Medicare only because of ESRD, your Medicare coverage ends 36 months after the month of the kidney transplant. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. coverage. Transplant drugs can be very costly.
What is Medicare Part A?
Medicare Part A (Hospital Insurance) Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. coverage. Transplant drugs can be very costly. If you’re worried about paying for them after your Medicare coverage ends, talk to your doctor, nurse, or social worker.
What is Part B in medical?
Prescription drugs (outpatient) Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. covers a limited number of outpatient prescription drugs under limited conditions. A part of a hospital where you get outpatient services, like an emergency department, observation unit, surgery center, or pain clinic.
What is Medicare approved amount?
Medicare-Approved Amount. In Original Medicare, this is the amount a doctor or supplier that accepts assignment can be paid. It may be less than the actual amount a doctor or supplier charges. Medicare pays part of this amount and you’re responsible for the difference.
Does Medicare cover transplant drugs?
Medicare covers transplant drug therapy if Medicare helped pay for your organ transplant. Part D covers transplant drugs that Part B doesn't cover. If you have ESRD and Original Medicare, you may join a Medicare drug plan.
When should antidepressants be monitored?
All patients being treated with antidepressants for any indication should be monitored and observed for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes.
Is Contrave approved for pediatric patients?
Advise families and caregivers of the need for close observation and communication with the prescriber. CONTRAVE is not approved for use in pediatric patients.
Is Contrave contraindicated for seizures?
CONTRAVE is contraindicated in: uncontrolled hypertension; seizure disorder or a history of seizures; use of other bupropion-containing products; bulimia or anorexia nervosa, which increase the risk for seizure; chronic opioid or opiate agonist (eg, methadone) or partial agonist (eg, buprenorphine) use, or acute opiate withdrawal; patients undergoing an abrupt discontinuation of alcohol, benzodiazepines, barbiturates, and antiepileptic drugs; use during/within 14 days following treatment with monoamine oxidase inhibitors (MAOIs), as there is an increased risk of hypertensive reactions when CONTRAVE is used concomitantly with MAOIs, including reversible MAOIs such as linezolid or intravenous methylene blue; known allergy to any component of CONTRAVE, as anaphylactoid/anaphylactic reactions and Stevens-Johnson syndrome have been reported; and pregnancy.
Is Contrave safe for weight loss?
The effect of CONTRAVE on cardiovascular morbidity and mortality has not been established. The safety and effectiveness of CONTRAVE in combination with other products intended for weight loss, including prescription drugs, over-the-counter drugs, and herbal preparations, have not been established.
Is Contrave approved for use in the treatment of major depressive disorder?
CONTRAVE® is not approved for use in the treatment of major depressive disorder or other psychiatric disorders. CONTRAVE contains bupropion, the same active ingredient as some other antidepressant medications (including, but not limited to, WELLBUTRIN, WELLBUTRIN SR, WELLBUTRIN XL, and APLENZIN). Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term trials. These trials did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in subjects over age 24; there was a reduction in risk with antidepressant use in subjects aged 65 and older. In patients of all ages who are started on CONTRAVE, monitor closely for worsening, and for the emergence of suicidal thoughts and behaviors. Advise families and caregivers of the need for close observation and communication with the prescriber. CONTRAVE is not approved for use in pediatric patients.
Can you take Contrave with chronic opioids?
CONTRAVE should not be administered to patients receiving chronic opioids. If chronic opiate therapy is required, CONTRAVE treatment should be stopped. In patients requiring intermittent opiate treatment, CONTRAVE therapy should be temporarily discontinued and lower doses of opioids may be needed. Patients should be alerted that they may be more sensitive to opioids, even at lower doses, after CONTRAVE treatment is discontinued.
Can Contrave be used for bipolar?
Prior to initiating CONTRAVE, screen patients for history of bipolar disorder and the presence of risk factors for bipolar disorder (eg, family history of bipolar disorder, suicide, or depression). CONTRAVE is not approved for use in treating bipolar depression.
What does Medicare Part B cover?
Part B also covers durable medical equipment, home health care, and some preventive services.
Does Medicare cover tests?
Medicare coverage for many tests, items, and services depends on where you live . This list includes tests, items, and services (covered and non-covered) if coverage is the same no matter where you live.
How much does a copay for a prescription cover?
For patients with a copay obligation of $110 or less for a 30-day prescription, 120 pills or fewer ($330 or less for a 90-day supply, 360 pills or fewer), the offer will cover any amount over $50 ($150 for a 90-day supply, 360 pills or fewer).
Can you use a Contrave card with a prescription?
The CONTRAVE Savings Coupon Card is not valid for use with any other prescription drug discount or cash cards program. Cash Discount Cards and other noninsurance plans are not valid as primary insurance under this offer. If a patient is eligible for drug benefits under any such program, the patient cannot use this offer.
What is the phone number for Contrave?
Visit our Medication Guidefor more information about CONTRAVE, or call one of our customer service representatives at 1-800-905-5576.
What is the BMI of a person who takes Contrave?
Who should take CONTRAVE? CONTRAVE is approved for use in adults with a body mass index (BMI) of 30 kg/m2or greater (obese) or 27 kg/m2or greater (overweight) who have at least one weight-related condition, such as high blood pressure, type 2 diabetes, or high cholesterol.
How long after stopping MAOI can you take Contrave?
Do notstart CONTRAVE until you have stopped taking your MAOI for at least 14 days. are allergic to naltrexone or bupropion or any of the ingredients in CONTRAVE. See the Medication Guidefor a complete list of ingredients in CONTRAVE. See the Medication Guideto learn more.
How many Contrave pills should I take a day?
A total daily dosage of 4 CONTRAVE pills (i.e., 2 pills taken twice per day) should be reached at the start of week 4.
How long does it take to stop taking Contrave?
Your healthcare provider should tell you to stop taking CONTRAVE if you have not lost a certain amount of weight after 16 weeks of treatment. Do not take more than 2 pills at the same time or more than 4 pills in 1 day. Do not take CONTRAVE with high-fat meals. It may increase your risk of seizures.
How to contact a pharmacy if you lost your card?
If you’ve lost the card, call a customer service representative at 1-800-905-5576for assistance . If you’re switching to another pharmacy within the same chain, your information should still be in the system.
Is Contrave FDA approved?
CONTRAVE contains 2 well-known FDA-approved drugs, naltrexone and bupropion, which have each been on the market for the treatment of other conditions for over 30 years. However, the individual medicines in CONTRAVE are not approved for weight loss when used on their own, and CONTRAVE is not indicated for the treatment of depression, ...
What to do when taking Contrave?
While taking CONTRAVE, you or your family members should: pay close attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. This is very important when you start taking CONTRAVE or when your dose changes. keep all follow-up visits with your healthcare provider as scheduled.
How does Contrave affect other medicines?
CONTRAVE may affect the way other medicines work and other medicines may affect the way CONTRAVE works, causing side effects. Ask your doctor for a list of these medicines if you are not sure. Know the medicines you take. Keep a list of them to show your doctor or pharmacist when you get a new medicine.
How much water should I drink to take Contrave?
In general, it is recommended you drink plenty of water when taking CONTRAVE. A good rule of thumb is to take CONTRAVE with 8 oz of water. And then throughout your day, drink additional glasses of water—as this can help with both weight loss and, for some people, with preventing constipation.
Can you change Contrave dose?
Do not change your CONTRAVE dose without talking with your doctor.
Can you use a Contrave coupon card if you are a medicaid beneficiary?
The CONTRAVE Savings Coupon Card cannot be used if you are currently a Medicaid Beneficiary. Medicare Part D and TRICARE beneficiaries are eligible for the CONTRAVE Savings Coupon Card. However, to receive the CONTRAVE Savings Coupon Card benefits, your prescription will be processed with the assumption that you are a cash-paying customer.
Can you take Contrave in the morning?
Do not take more than 2 pills in the morning and 2 pills in the evening. Do not take more than 2 pills at the same time or more than 4 pills in 1 day. Do not take CONTRAVE with high-fat meals. It may increase your risk of seizures. If you miss a dose of CONTRAVE, wait until your next regular time to take it.
Can you overdose on Contrave?
Risk of opioid overdose. One of the ingredients in CONTRAVE ( naltrexone) can increase your chance of having an opioid overdose if you take opioid medicines while taking CONTRAVE. You can accidentally overdose in 2 ways: Naltrexone blocks the effects of opioids, such as heroin, or opioid pain medicines.
