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The first Spravato appointment takes about two hours. Patients self-administer the nasal spray in the clinic under supervision, then remain for approximately 90 minutes of monitoring. Driving afterward is not permitted, so a designated driver
Read MoreThe first TMS appointment is a consultation and mapping session lasting one to one and a half hours. How to prepare, and when treatment begins.
Read MoreKey facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC Spravato prior authorization is decided on the chart, not on the conversation. The packet must show: labeled diagnosis, complete antidepressant trial history, a baseline
Read MoreKey facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC Spravato coverage is usually approved in phases that follow the label: induction, then continuation and maintenance. Re-authorization turns on documented response, most often measured
Read MoreKey facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC Most Spravato denials come down to documentation, not eligibility. The four usual causes: incomplete medication-trial history, diagnosis mismatch, plan policies that still require a
Read MoreKey facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC Spravato (esketamine) can only be given in a REMS-certified healthcare setting; it is never taken home. Every dose is followed by at least 2
Read MoreKey facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC TMS prior authorization is decided on the chart: diagnosis, measured symptom severity, and a complete antidepressant trial history. Each medication trial must be documented
Read MoreKey facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC A standard insurance-authorized TMS course is 36 sessions: 5 per week for about 6 weeks, then a 6-session taper. Insurers authorize the course as
Read MoreDepression can return after a successful course of TMS, and most insurance plans anticipate that. Coverage for a second acute course, usually called re-treatment, is common when you responded the first time, symptoms have returned,
Read MoreTMS is FDA-cleared as an adjunct treatment for obsessive-compulsive disorder, so coverage for OCD is legitimate rather than experimental. It is, however, narrower and less uniformly covered than TMS for major depression. Plans generally require
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