Acquiring SPRAVATO®

Pathway to Acquire SPRAVATO® Through an Authorized Specialty Distributor

SPRAVATO® Enhanced Services Pharmacy Network Communication

Complete List of Authorized SPRAVATO® Full-Line Wholesalers and Specialty Distributors

Assignment of
Benefits Form

Coverage & Reimbursement

Access, Coding, & Reimbursement Guide

Letter of Medical Necessity Template

Letter of Exception Template

Drug & Procurement Coding Overview
for SPRAVATO®

Evaluation & Management
(E/M)
Code Flashcard

Exceptions & Appeals Guide