Intimacy is the gateway to improving bonds between two partners. But, if you suffer from hypoactive sexual desire disorder, you might want to come out of the disease to maintain bonds with your partner.
Are there any solutions to this disorder? Yes, Vyleesi (Bremelanotide) is used to cure this disorder. But, there is a problem. Its price is high. However, some commercial insurance packages can be a helping hand to adjust the high cost of vyleesi.
Still, I remember how my wife came out of this disorder through the insurance assistant. Can you guess how I lead my life now? I am enjoying my life to the fullest.
Are you interested to know “Is vyleesi covered by insurance.” If yes, then read this article till the end to know about it.
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Vyleesi: A Treatment for Low Sexual Desire
Bremelanotide is the active ingredient in the medication known as Vyleesi. Like flibanserin (Addyi), Vyleesi belongs to the melanocortin receptor agonist class. It is used for treating some women with hypoactive sexual desire disorder (HSDD).
It is characterized by low sexual desire. Melanocortin receptor (MCR) agonists are the drugs that make up the active element in Vyleesi injections.
It is thought that Vyleesi injections work by activating particular types of central nervous system receptors and exerting their effects through an unidentified mechanism. Vyleesi medication can increase melanin expression and cause pigmentation due to its therapeutic targets.
How should Vyleesi be used?
You have to follow some rules to use before taking vyleesi. Those include:
- Follow the instructions given to you by your physician when taking Vyleesi.
- You or your caregiver can use the autoinjector with Vyleesi at home.
- Subcutaneous injections help Vyleesi. It is injected under the skin in the thighs or stomach area.
- If you think you will be intimate with your partner, take vyleesi at least 45 minutes before having sex.
- Within 24 hours of your last injection of Vyleesi, you should not inject more than one dose.
- Within a single month, you should not inject more than eight doses of Vyleesi.
Insurance coverage for vyleesi
Is vyleesi covered by insurance? The answer to this question is that most Medicare and insurance plans do not cover Vyleesi. But, commercially insured patients receive Vyleesi for free. GoodRx, InsideRx, and Palatin Technologies have collaborated to lower the cost of this prescription.
Most eligible patients may pay nothing, depending on their insurance coverage. The eligibility of each patient is determined on an individual basis. To be eligible, patients must not be under 18. Particular things can affect your discount, such as:
- Your eligibility.
- State and local laws.
- Program availability.
Patients covered by a government-funded program (such as Medicare, TRICARE, etc.)are not qualified. It means if you are covered through government insurance, you are not going to get the vyleesi from them.
For Vyleesi patients, financial assistance is available for the patient’s copay, coinsurance, or deductible. Health plan restrictions may apply to Palatin contributions against a patient’s deductible or out-of-pocket maximums. Palatine copay aid will only be available for two fills every 30 days. The program cannot be enrolled retrospectively.
Process of getting vyleesi speciality pharmacy
A specialty pharmacy handles medication with unique storage, delivery, or administration requirements. You do not have to go to a specialty pharmacy to pick up a drug when you buy it from them. It is delivered to you by mail.
Also, they verify your insurance and assist you with any copay assistance that may be available to you. Only special pharmacies deal with Vyleesi. Thus, if your physician recommends Vyleesi, you will receive it in the following manner:
- Your healthcare provider will first send your prescription to a pharmacy. KnippeRx® is the exclusive partner of Vyleesi. You can be sure that Vyleesi is always available and gets the best deal when working with KnippeRx®.
- After that, you get a call or a text. It could happen in a few hours or a few days. Yet, the speciality pharmacy will contact you. KnippeRx® should contact you via text or phone. The pharmacy will also contact you for vital information for processing your prescription. Such as:
- Confirming your insurance coverage.
- Assisting with copay assistance.
- Arranging for Vyleesi’s delivery.
- With free shipping, the pharmacy will deliver your Vyleesi to you directly. If you want, you can monitor your package. And it can be delivered to your door quickly.
Vyleesi: Cost and Dosage
Most pharmacies in the United States charge more than $700 for a Vyleesi autoinjector containing 1.75 mg or 0.3 milliliters. If you have to pay out of pocket, you might want to look for a Vyleesi coupon online or check with your insurance company to see if your plan covers the Vyleesi injection.
Typically, Vyleesi is given as an injection of 1.75 mg into the thigh or abdomen 45 minutes before planned sexual activity. Yet, the Vyleesi prescription depends on the doctor who gave the drug and the patient’s particular health conditions. Vyleesi’s active ingredient has a half-life of fewer than three hours after administration, and it is excreted through the kidneys and feces.
There should be a maximum of eight injections of Vyleesi every thirty days. Vyleesi medication comes in a 1.75 mg/0.3 mL solution that should be kept away from light and at least 25 degrees Celsius.
Vyleesi’s potential side effects
There are serious side effects of Vyleesi, such as:
- If you take Vyleesi more often than your doctor tells you to, your blood pressure may increase. And you may have more heart problems. You may face a temporary heart rate decrease and blood pressure elevation shortly after injecting Vyleesi. The majority of these changes disappear 12 hours after your injection.
- You may suffer from focal hyperpigmentation. In this case, some of your body parts, such as your face, gums, and breasts, can be dark. If Vyleesi is used every day, there is a greater chance that the skin will become darker. Even if you stop using Vyleesi, the skin may still become darker.
- Nausea can be mild or severe. It is common. Nausea can occur after any dose of Vyleesi. Yet, it usually occurs after the first injection. Nausea lasts about two hours, but some people experience it for longer. Usually, sickness goes away on its own. If you notice severe nausea, you should consult your doctor.
Vyleesi’s most common side effects are as follows:
- Flushing.
- Headache.
- Nausea.
- Vomiting.
- Exhaustion.
- Cough.
- Congestion.
- Dizziness.
Important Safety Information
If you have to take Vyleesi, then you should have to take care of the following:
- Uncontrolled hypertension.
- Heart diseases.
It would be best if you told your doctor about your medical conditions, including the following:
- If you have high cholesterol levels.
- If you have a heart problem.
- If you suffer from kidney issues.
- If you suffer from liver issues.
- If you are expecting or planning a pregnancy.
It is not scientifically proven that Vyleesi medicine can harm your unborn child. During treatment with Vyleesi, pregnant women should use effective contraception. Also, you have to tell your doctor about your medications, including vitamins and herbal. Both the effectiveness of Vyleesi and that of other medicines may be affected by Vyleesi.
Is Vyleesi available online?
In the United States, Vyleesi medication can only be obtained with a prescription. Because of this, you can not just buy Vyleesi online or over the counter. Getting a Vyleesi prescription from a licensed doctor is the first step in getting a Vyleesi injection.
Yet, individuals who require a Vyleesi injection prescription can connect with a physician who can, when necessary, prescribe Vyleesi injection medication.
Frequently asked questions:
When you suffer from HSDD, the high cost of vyleesi frustrates you. You might look for details information about “Is vyleesi covered by insurance.” I have gathered some common questions about vyleesi and insurance.
How does Bremelanotide work?
Bremelanotide is an injection used to treat women with low sexual desire who have not gone through menopause. This treatment is used regardless of sexual activity, situation, or partner.
Bremelanotide is not used to treat low sexual desire brought on by issues in a relationship, health issues, mental illness, or the use of particular drugs or medications.
Bremelanotide should not be taken by men or women who have just entered menopause. It is not advised to use Bremelanotide to improve sexual performance.
What should be the topic of discussion with my healthcare provider before using Bremelanotide?
Bremelanotide should not be used by people who are allergic to it or have coronary disease or high blood pressure that is not controlled or treated. No one under the age of 18 should take Bremelanotide.
Inform your doctor if you have ever experienced: heart issues, high cholesterol levels, kidney problems, or liver trouble. Bremelanotide may harm a developing child. Prevent pregnancy by using effective contraception. If you become pregnant, stop taking the medication and tell your doctor immediately.
If you use Bremelanotide while pregnant, your name may be added to a pregnancy registry to track how the drug affects the unborn child. While taking this medication, breastfeeding may not be safe. Any potential danger should be discussed with your physician.
If I miss a dose, what happens?
Bremelanotide does not have a daily schedule because it is taken when needed.
Who should not take Vyleesi?
A woman with uncontrolled high blood pressure (uncontrolled hypertension) or heart (cardiovascular) disease should not take Vyleesi. Vyleesi opposes treating HSDD in men and women who have gone through menopause.
The purpose of Vyleesi is not to enhance sexual performance. Children should not take vyleesi. Vyleesi’s potential to harm your unborn child is unknown. Inform your doctor if you are pregnant or plan to become pregnant before taking Vyleesi.
Due to the severe consequences of naltrexone treatment failure, Vyleesi should not be taken with an orally administered product designed to treat alcohol and opioid addiction.
Does the insurance agency cover vyleesi?
Most insurance agencies will not cover vyleesi. Also, government insurance will not cover vyleesi. Medicare does not cover vyleesi in America. But, most commercially insured people get vyleesi for free.
Can pregnant women take Vyleesi?
The effect of Vyleesi on pregnancy is unknown. Please take Vyleesi according to your doctor’s instructions. If you become pregnant or suspect you might become pregnant while receiving treatment with Vyleesi, you should immediately stop taking the medication and consult your doctor.
While taking Vyleesi, pregnant women should use effective contraceptives. Discuss their options with their doctor or another healthcare provider.
What is telemedicine?
Telemedicine allows you to get Vyleesi without going to the doctor’s office. Talk about your symptoms with a healthcare professional online from the comfort of your own home. Then, free of charge, your Vyleesi will be delivered to your door if prescribed. Plus, the consultation only costs $15!
How prevalent is the disorder of hypoactive sexual desire (HSDD)?
In the United States, approximately one in ten premenopausal women experience HSDD. The most common medical condition causes women to experience sex-related distress, lowering self-esteem, and straining relationships.
Final thoughts
Low sexual desire can frustrate you. But, the high cost of vyleesi can raise frustration even more. But, if a government insurance policy covers you, you must bear the cost.
Is vyleesi covered by insurance? Yes. It does. Some insurance company includes this injection in their coverage. It is recommended to be covered by commercial insurance like GoodRx. It will help you to adjust the cost of vyleesi.
The disorder of lower sexual disease can not be solved within a day. Therefore, you should consider commercial insurance to continue your sex life.
Mehedi Hasan is an insurance expert with over 6 years of experience in the industry. He has a deep understanding of various types of insurance policies and is skilled at helping clients find the coverage that best fits their needs. In his current role, Mehedi works as a consultant, advising businesses and individuals on the best insurance options for their specific situations.
He is also a frequent speaker at industry events, sharing his knowledge and expertise with colleagues and professionals in the field. Mehedi holds a degree in insurance and risk management and is committed to staying up-to-date on the latest industry trends and developments. In his free time, he enjoys reading, traveling, and spending time with his family.