Spravato is a prescription medication for the treatment of depression. The medicine, which is used in conjunction with an antidepressant administered orally, is designed for adults who suffer from treatment-resistant depression (TRD). For most people, antidepressant drugs or psychotherapy sessions may help lessen the symptoms, but standard treatments are not sufficient for patients with TRD.

Spravato is not known to be safe and effective for children. For adults, it must be taken at a certified medical facility under close supervision. Monitoring during and following each treatment for a minimum of two hours is critical. Prior arrangements must be made for a friend or family member to drive the patient home afterwards.

Spravato is a brand name for esketamine, which enters the body through a nasal spray. It may enhance your mood and stimulate your interest in day-to-day living. It was only approved by the Food and Drug Administration in March, 2019. The Kaiser Family Foundation reports that critics argue the approval followed limited trials, and there is a lack of information about safety for long-term use. Side effects may include being dizzy, feeling detached from reality, bladder problems and elevated blood pressure.

Aside from the question of whether or not Spravato is included in Medicare coverage, discuss with your doctor the benefits and risks of using the drug to be sure this medicine is right for you and that you are comfortable with any potential side effects.

Medicare Coverage for Spravato

Part D Medicare coverage is an optional benefit that covers prescription drugs. If you already enrolled in Part D prescription drug coverage, check your plan’s formulary, or list of covered drugs. If not currently enrolled, you can search for Medicare plans that cover Spravato. Although Part D is optional, those who are undecided during the eligibility period may be charged a late enrollment fee if they decide to sign up later. Included in the eligibility criteria is enrollment in Medicare Part A and/or Part B.

If you have Original Medicare, you can enroll in a stand-alone Prescription Drug Plan (PDP). As an alternative to Original Medicare, you can enroll in a Medicare Advantage plan that includes Part A, Part B, and Part D coverage. Plans vary in coverage and cost, so compare your options before enrolling.

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