Find Relief from Treatment-Resistant Depression in Effingham
Help Your Patients Discover a New Path to Relief with SPRAVATO® at KetAssure!
What is SPRAVATO®?
SPRAVATO® is a prescription nasal spray medication that offers a new approach. This groundbreaking medication contains esketamine, a substance related to ketamine, and is administered right here in our clinic under the careful supervision of our experienced team.
SPRAVATO® Coverage and Access
"We handle all patient Benefit Verification (VOB) and Prior Authorization (PA) submissions. Simply send the referral—we take it from there."
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Accepted Payors: BCBS, United Health, Aetna, Medicare
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SPRAVATO® Coverage: SPRAVATO® is FDA-approved and covered by most major commercial and public insurance plans.
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IV Ketamine Financial Status: IV Ketamine Infusion Therapy is considered self-pay.
🚀 A New Hope for TRD: Explore a treatment option specifically designed for those who haven't found adequate relief from other antidepressants.
🌱 A Different Approach: SPRAVATO® works on a different pathway in the brain, offering a unique mechanism of action.
🌟 Potentially Rapid Relief: Some individuals may experience improvement in depressive symptoms more quickly compared to traditional oral antidepressants.
🎗️ Administered Under Medical Supervision: You'll receive SPRAVATO® in a safe and supportive clinical setting with our experienced healthcare team.
🤝 Integrated with Your Care: SPRAVATO® can be used in conjunction with an oral antidepressant and your overall treatment plan.
How You Can Refer Your Patient For SPRAVATO®
Documentation Checklist
1/Patient Demographics
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Name
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DOB
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Contact
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Front/Back of Insurance Card
2/Most Recent Progress Note
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Please be very detailed with information (DSM-V Criteria for MDD if Possible)
3/Documentation of TRD
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Proof of inadequate response to at least two different antidepressant regimens (essential for PA).
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Comprehensive Prescription History (Past 5 Years)
4/Psychiatric Evaluation/Assessment
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PHQ-9 Score
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Psychiatrist or referral by primary for future appointment.
5/SPRAVATO® Doctor Referral
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Does not have to be on a specific form.
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Patient Referral for SPRAVATO® Treatment Form is available below.
6/SPRAVATO® Letter of Necessity
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Does not have to be on a specific form.
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SPRAVATO® Letter of Medical Necessity is available below.
Clinical Compliance & Safety (REMS)
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REMS Certification: KetAssure is a certified SPRAVATO® REMS treatment center.
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Monitoring: All patients receive 2-hour post-administration monitoring by our licensed healthcare professionals.
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Patient Safety: We enforce the mandatory chaperone/ride home requirement and closely screen for all contraindications.
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SPRAVATO® is not appropriate for your patient if they have:
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Pregnancy
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Schizophrenia (or family history of Schizoaffective Disorder)
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Mania
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Active Alcohol or Substance Abuse
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Previous hypersensitivity to Ketamine
Our Proactive Approach to Your Patients Coverage &The Pre-Authorization Process
Navigating insurance coverage for SPRAVATO® can be complex. Our office is dedicated to simplifying this process by actively working to determine each patient's specific insurance coverage for SPRAVATO®.
The Process Includes:
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Verify patients insurance benefits
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Determining potential out-of-pocket costs
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Our team will provide assistance with SPRAVATO®withMe a co-pay assistance program
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Order patient's medication
We commit to sending a clinical summary to the referring provider after the patient completes the initial induction phase.
We maintain an open line of communication to coordinate the patient’s overall treatment plan, dosage, and continued medication management.