Spravato with Me Savings Program

Funded

About

The Spravato with Me Savings Program offers significant financial relief for patients using the Spravato medication. Designed specifically for those with commercial/private insurance, this program allows eligible patients to pay only $10 per treatment, easing the cost burden and promoting accessibility to Spravato. The program sets manageable limits on the number of devices per treatment, ensuring patients receive necessary care without overwhelming expenses.

Insurance requirements: Commercially insured

As low as: $10 per fill

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: Yes

Program Details

•Eligible commercially insured patients pay $10 per treatment for SPRAVATO medication costs

•Treatment may include up to three devices administered on the same day

•Depending on how insurance covers SPRAVATO, there is a program benefit limit of list price of the medication and a quantity limit of three devices per day or 23 devices in a 24day period

•Quantity limit of 24 devices in a 24day period for one use per lifetime

•Program is based on medication costs only and does not include costs of treatment observation

•Offer may not be combined with any other coupon, discount, prescription savings card, free trial, or other offer

•Fax completed form to 8445777282 or sent mail to SPRAVATO withMe Savings Program 2250 Perimeter Park Drive, Suite 300 Morrisville, NC 27560

Enrollment Forms

Enrollment Form