Acquiring SPRAVATO®
Determine if SPRAVATO® will be acquired through a specialty pharmacy, buy and bill, or both.
Benefit Design Will Determine the Way You Acquire SPRAVATO® for Your Patients
If SPRAVATO® is covered under both benefits, check with your patient's insurance plan to choose the pathway that best meets the patient’s needs and is compatible with their benefit design.
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Buy and Bill: Buy and bill is the process of acquiring SPRAVATO® through an authorized specialty distributor and is typically covered under the medical benefit. Buy and bill allows for flexibility with patient treatment and provides a measure of control with on-demand inventory. The buy-and-bill pathway requires the treatment center to complete a benefits investigation and obtain prior authorization before purchasing and storing the product.
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Specialty Pharmacy: The specialty pharmacy pathway is the process of acquiring SPRAVATO® through a REMS-certified specialty pharmacy. This pathway allows treatment centers to treat patients who are covered under the pharmacy benefit. The pharmacy pathway does not require your treatment center to purchase SPRAVATO® but does require shipment coordination before each treatment session. Using the specialty pharmacy pathway, your treatment center receives patient-assigned product from a REMS-certified pharmacy and bills for associated healthcare services only.
