Kishore Sunkara, MD FocusDFW Child, Adult Psychiatry & Counseling SPRAVATO & TMS
669 Airport Freeway, Suite: 401, Hurst
4.7(112 Google reviews)
United States
No clinic sits inside North Richland Hills itself. The closest verified clinic is 2.7 miles away, in Hurst.
Every dose is given in a certified healthcare setting, followed by at least two hours of monitoring. Arrange transportation home after each visit. Distances below are straight-line miles from North Richland Hills.
2.7 miles away · Hurst
669 Airport Freeway, Suite: 401, Hurst
4.7(112 Google reviews)
2.7 miles away · Hurst
6.3 miles away · Euless
6.3 miles away · Euless
7.3 miles away · Fort Worth
8 miles away · Keller
For people in North Richland Hills considering SPRAVATO®, the amount you pay depends on your insurance benefits, treatment setting, and prescribed schedule. Ask about the full visit—not just the medication. The nasal spray and the supervised treatment and monitoring services may be billed separately, so a medication benefit estimate alone may not describe your total responsibility.
Prior authorization is common. Your insurer may request records of earlier antidepressant trials, including which medicines you took and how you responded. Ask the treatment center which records it needs, who submits the authorization request, and whether approval is required before scheduling. Authorization does not necessarily mean every charge will be covered.
Medicare may cover Spravato through Part B or Part D, depending on the plan and setting. Texas Medicaid coverage also depends on the applicable plan and requirements. Confirm benefits directly rather than assuming coverage based on your insurance type.
Manufacturer savings programs exist for eligible commercially insured patients, not patients using government insurance. Eligibility restrictions apply; ask about current terms and which charges, if any, a program helps with.
Before starting, ask the center and insurer:
Also budget for transportation and time away from work. Those practical costs can matter when visits are frequent.
There are currently no SPRAVATO® treatment centers listed in North Richland Hills in this directory. That does not establish that no services exist locally. Nearby cities with listed centers include Fort Worth and Dallas. Use those listings as a starting point, then contact a center to confirm its current REMS certification, appointment availability, and intake requirements before making travel arrangements.
Spravato is not a take-home medicine. You administer the nasal spray yourself under direct observation at a REMS-certified healthcare setting. Monitoring continues for at least two hours after each dose, and you may need to stay longer based on your clinician’s assessment. Allow additional time for check-in, preparation, and discharge rather than treating two hours as the entire appointment.
For treatment-resistant depression, the typical labeled schedule starts with twice-weekly visits during weeks 1–4, followed by weekly visits during weeks 5–8. Maintenance may be weekly or every two weeks. Your prescriber individualizes treatment; this is not a guaranteed personal schedule.
Arrange for someone else to drive you home after every appointment. You must not drive or operate machinery until the next day after a restful sleep. Ask the center about its transportation and pickup requirements before relying on a paid ride, and consider arranging a backup driver.
When planning time off work, account for travel, the full appointment, and the driving restriction afterward. If your job involves driving or machinery, discuss scheduling with your clinician. Coordinate childcare or other responsibilities in advance so you do not have to rush home or leave monitoring early.
This directory currently has no SPRAVATO® centers listed in North Richland Hills. Fort Worth and Dallas have listed centers and are nearby places to begin your search. A directory listing is not a substitute for confirming current REMS certification. Before booking, ask whether the location provides Spravato treatment, is accepting patients, and can explain its evaluation, insurance, and transportation requirements.
Spravato is approved for adults with treatment-resistant depression, either alone or with an oral antidepressant. It is also approved for depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behavior, together with an oral antidepressant. It is not approved for children. A clinician must review your symptoms, treatment history, and medical risks to determine whether it is appropriate; a diagnosis alone does not guarantee eligibility.
Coverage depends on your plan, the treatment setting, and network rules—not simply whether a center is in your city. Ask your insurer about the specific location and coverage for both the medication and monitoring visit. Prior authorization and records of previous antidepressant trials are common requirements. Medicare and Texas Medicaid may cover treatment depending on the plan and setting, but you need an individual benefits review.
At a REMS-certified setting, you self-administer the nasal spray under a healthcare provider’s direct observation. Staff monitor you for at least two hours afterward for effects such as sedation, dissociation, breathing problems, and blood pressure increases. You may need longer monitoring before discharge. Someone else must take you home, and you cannot drive or operate machinery until the next day after a restful sleep.
Important risks include sedation, dissociation—feeling disconnected from yourself or your surroundings—respiratory depression, and increased blood pressure. Spravato also carries boxed warnings about abuse and misuse and suicidal thoughts and behaviors. It is a Schedule III controlled substance. Tell the clinician about your health history, medicines, and any substance-use concerns so they can assess risks and explain what symptoms to report during and after treatment.
No. Spravato has not been shown to prevent suicide or reduce suicidal thoughts or behavior, and it does not replace hospitalization when clinically needed. Do not wait for a treatment evaluation if you need urgent help. In a mental health crisis, call or text 988. If there is immediate danger or a medical emergency, call 911.
Approved uses, nearby treatment centers, and medically sourced patient guides.