Coverage

  • SPRAVATO® is usually covered by insurance, including Medi-Cal and Medicare, because it is FDA-approved and well-studied to be effective and safe, providing rapid relief. It may be paid under your medical or your pharmacy benefit, depending on your plan.

  • The SPRAVATO®withMe plan offers patients to pay as little as $10 per treatment for your SPRAVATO® medication.

  • If insurance doesn’t cover all of your costs, or if you have no insurance, the SPRAVATO®withMe plan can provide information about other cost support options.

Treatment Planning & Process

Authorization

Some plans allow patients to self-refer to us; others may require a referral. If you are unsure, we can check for you.

We initiate the insurance authorization process and after we collect this information, we contact you to set up an appointment.

We will also submit the SPRAVATO® withMe paperwork to collect cost support information, an explanation of insurance coverage, and specialty pharmacy services.

Consult

We will make an appointment for you, via in-person or telehealth, a well as send you paperwork through our secure electronic medical record system to collect your history and consent for treatment.

Your consult is an opportunity for us to learn about you and for you to ask questions.

If you are eligible for SPRAVATO® treatment, we will make a treatment session for you.

Sessions

You will self-administer the nasal spray under the supervision of our healthcare providers.

You can listen to music, meditate, rest, or journal. Some patients use eye masks and blankets for comfort.

You must remain in the office for at least 2 hours post-administration to be monitored. You will need a ride home at the end of your session.

Dosing Schedule

After the first month and throughout treatment, you and your healthcare provider will determine if SPRAVATO® should be continued and how often.

Typical dosing schedule

Induction Phase Weeks 1-4:

Twice (2x) per week

Maintenance Phase Weeks 5-8:

Once (1x) per week

Ongoing: Based on patient need & clinical judgement, usually once (1x) per week or once (1x) every two weeks