Are you thinking about trying Vyvanse for a mental health concern like ADHD? In that case, you might wonder: Does United Healthcare Cover Vyvanse? Of course, it’s a common question that comes to our mind because this medicine is pretty expensive.
If the insurance provider doesn’t cover your medication costs, it could seriously affect how affordable and accessible this potentially helpful drug is for you.
The good news is that United Healthcare often provides coverage for Vyvanse prescriptions. But you need to understand when and how coverage applies based on your specific situation.
In this blog post, we’ll give an overview of Vyvanse, how to check your Vyvanse coverage and everything you need to know about whether or not United Healthcare will pay for a Vyvanse prescription.
What is Vyvanse?
Vyvanse is a prescribed drug used to treat attention-deficit hyperactivity disorder (ADHD) and eating disorders.
It is composed of lisdexamfetamine, which is an amphetamine-based stimulant medication that impacts the brain regions responsible for focus, attention, and impulse control.
Vyvanse is a prescription medicine that is mostly used to treat these conditions:
- ADHD in kids and some adults
- Adults who are struggling with moderate to severe binge eating disorder (BED)
The U.S. Food and Drug Administration (FDA) does not approve Vyvanse for obesity and weight loss.
Uses
According to WebMD, take this medication as your doctor directs, either with or without food. Usually, mostly doctors recommend it in the morning. Just remember not to take it in the afternoon or evening because it might mess with your sleep.
Use this drug regularly to get the most benefit from it. To help you remember, take it at the same time every day.
Make sure to use this medication regularly to get its most benefits. Sometimes, this drug does not work if you take it for a long time. Consult with your doctor if this medicine stops working well.
What are Vyvanse’s side effects?
People using Vyvanse may cause mild or moderate side effects. Here are some of the usual side effects that Vyvanse may cause:
Side effects of Vyvanse in children (ages 6 to 17) and adults with ADHD:
- Stomach ache
- loss of appetite
- dizziness and diarrhea
- dry mouth
- trouble sleeping
- stomach pain
Vyvanse side effects in adults with moderate to severe B.E.D.:
- increased heart rate
- dry mouth
- decreased appetite
- constipation
- anxiety
- feeling jittery
Does United Healthcare Cover Vyvanse?
The good news is that United Healthcare provides coverage for Vyvanse, but the coverage can vary based on the specific plan you choose. It might be partially covered, requiring you to pay a portion of the cost, or it could be fully covered.
The coverage also depends on whether your doctor thinks it’s medically necessary for you, which is generally based on your diagnosis, age, and other factors. It’s important to check the details of your health plan or reach out to United Healthcare directly to see how much of Vyvanse is covered.
To find out that your insurance covers Vyvanse, you can check your insurance company’s drug formulary. This formulary is an essential list of the prescription drugs that your insurance plan covers.
If Vyvanse is on the list, your plan will cover it. However, there might be some requirements, such as prior authorization. Most of the people do not read the instructions carefully and just submit them. They can give you details about any requirements or restrictions that may apply.
Or, you can give a call to the number on the back of your insurance card to get all the necessary information.
If you find that your insurance does not cover Vyvanse or only covers a small portion of the cost, talk to your doctor about possible alternatives that may help offset the cost.
Also Read: Does United Healthcare cover Wegovy for Weight loss
How to check your Vyvanse coverage?
To check whether your United Healthcare plan covers Vyvanse, you can follow these steps:
- Visit the United Healthcare website.
- Login to your account. If you do not have an account, you’ll need to create one.
- Once you log in, look for the ‘Pharmacy’ or ‘Prescription’ section of your plan details.
- In this section, find and click on the ‘Drug List’ or ‘Formulary.’
- Search for ‘Vyvanse’ in the search bar.
- If Vyvanse is listed, it means your plan covers it. Notice carefully if there are any conditions or restrictions that may apply.
- If Vyvanse is not listed, the medication is not covered under your plan. In this case, consult your healthcare provider about alternative medications for coverage.
- For more details, contact UHC customer service through the contact information provided on their website or the back of your insurance card.
How to Get Insurance Coverage for Vyvanse?
Before you can get insurance coverage for Vyvanse, the most important step is to obtain a prescription from your doctor or medical provider.
Your doctor will determine whether Vyvanse is the best medication for you and will provide a prescription with the correct dosage. Make sure to bring your prescription to your insurance company when submitting your claim.
Once you get a prescription, contact United Healthcare customer service or visit their website to check whether Vyvanse is covered on your plan. Be aware that coverage may vary depending on your specific plan.
If Vyvanse is not covered, ask your doctor about alternative medications for coverage.
Factors To Determine The Coverage
Some factors that will determine how much of Vyvanse will be covered by United Healthcare:
- Your diagnosis and age
- The type of plan you have
- Any pre-existing conditions
- Whether your doctor thinks it is medically necessary for you
- The total cost of the medication and any other medications you are taking.
Conclusion
Vyvanse is a prescription medicine that is used to treat ADHD and moderate to severe B.E.D. United Healthcare provides coverage for Vyvanse, but the coverage can vary and depend on your specific plan. To find out how much of Vyvanse is covered by United Healthcare, you first need to check the details of your health plan or contact customer service.
Plus, you must obtain a prescription from your doctor before you can get insurance coverage for Vyvanse.
It’s also worth noting that Vyvanse has potential side effects, and it’s always important to talk to your doctor about any side effects that may occur. With the right treatment plan, Vyvanse can be an effective medication for many people!
Resources
- https://www.healthline.com/health/drugs/vyvanse
- https://www.webmd.com/drugs/2/drug-148324/vyvanse-oral/details
- https://www.vyvansecopay.com/
