- 21297 Foothill Blvd, Ste 203 Hayward, CA 94541 (by appointment only)
- (415) 636-9700
- hello@exxceedwellness.com
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 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 MoreAnthem Blue Cross plans in California generally cover Spravato (esketamine) for treatment-resistant depression when medical necessity criteria are met, and prior authorization is required in essentially all cases. Approval turns on three things: documented treatment-resistant
Read MoreSpravato (esketamine) almost always requires prior authorization, and approval turns on documentation: proof of treatment-resistant depression, meaning an inadequate response to at least two adequate antidepressant trials, plus confirmation that treatment will be given at
Read MoreMedicare Part B generally covers Spravato because it is administered in the office. Here is how the cost and approval work.
Read MoreKaiser generally covers Spravato, but provides it inside its own facilities. Here is what that means for referrals, waits, and going outside.
Read MoreBlue Shield of California generally covers Spravato for treatment-resistant depression with prior authorization. Here is what to expect.
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