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Healtop Healthcare
Accepting New Patients · REMS Certified

Real depression care, finally available here.

Healtop is the only Spravato-certified clinic in the area. FDA-approved esketamine nasal spray for adults with treatment-resistant depression — administered on-site, monitored, and covered by most insurance.

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What is Spravato?

Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression — depression that hasn't responded to two or more standard antidepressants. Unlike off-label ketamine treatments, Spravato is prescribed and administered in a certified clinic, under medical supervision, alongside an oral antidepressant.

It's the first medication of its kind specifically approved for treatment-resistant depression. Until Healtop opened Spravato certification, patients in our area had to travel hours to access it. Now they don't.

Could Spravato be right for you?

You may be a candidate for Spravato if:

A first conversation with our team — or with your current provider — is the way to find out.

What to expect.

Spravato treatment happens in two phases.

Induction (first 4 weeks): Two sessions per week, supervised on-site at our Pounding Mill clinic. Each session takes 2 to 2½ hours from check-in to discharge. You self-administer the nasal spray under our medical team's supervision, then rest in a quiet treatment room while we monitor blood pressure and how you're feeling. You won't drive home afterward — please plan for a ride.

Maintenance (after week 4): Sessions taper to weekly, then every other week, depending on how you're responding. Your provider will adjust the schedule with you.

Throughout treatment, you continue your oral antidepressant. Spravato is added to your existing depression care, not a replacement for it.

Is Spravato covered?

Spravato is covered by most insurance plans, including:

Virginia Medicaid (DMAS)
Anthem BCBS
Sentara / Optima
UnitedHealthcare
Most commercial carriers
Medicare (Part B)

We verify your benefits and obtain prior authorization before you start. No surprise bills.

For uninsured or underinsured patients: Janssen CarePath, the manufacturer's patient support program, offers financial assistance specifically for Spravato. We help patients apply.
Call to Verify Coverage

Why patients choose Healtop for Spravato.

The only certified clinic in the area

Spravato requires a clinic to be REMS certified. Healtop is currently the only certified provider serving this region — meaning patients no longer have to travel hours for treatment.

Care that doesn't stop at depression

Spravato sits inside our full primary care and behavioral health practice. Your prescriber knows your full medical history. Your antidepressant, your blood pressure, your counseling — coordinated under one roof.

Real privacy, federally protected

Your treatment records receive the highest level of federal privacy protection under HIPAA and 42 CFR Part 2. We never share information with employers, law enforcement, or anyone else without your written consent.

Common questions about Spravato.

Is Spravato the same as ketamine?
Not exactly. Spravato (esketamine) is one specific form of ketamine, FDA-approved for treatment-resistant depression in adults. It's the only ketamine-related medication approved by the FDA for depression. "Ketamine clinics" that offer IV infusions are using ketamine off-label — not FDA-approved for depression, often not covered by insurance, and administered in widely varying settings.
How long until I might feel a difference?
That's an individualized clinical question, and it's something to discuss with our provider during your initial evaluation. We're not able to predict outcomes — but we can walk you through what the research shows and what to expect from the treatment timeline.
What are the side effects?
The most commonly reported side effects include dissociation (a temporary feeling of being detached), drowsiness, dizziness, nausea, and a temporary rise in blood pressure. This is why every session is medically supervised — we monitor you for at least two hours after each dose. Your provider will review the full safety profile during your initial visit.
Can I drive home after a session?
No. You'll need a ride home after every Spravato session. Patients can't drive or operate machinery until the following morning, after a full night's sleep. We'll help you plan transportation before your first appointment.
Do I have to stop my current antidepressant?
No — Spravato is used together with an oral antidepressant. That's part of how it's approved. You continue your existing medication and add Spravato to your care plan.
How do I get started?
Three options: talk to your current provider about a referral, call us directly at (276) 345-4304, or send a message through our contact form below. We'll walk through whether Spravato is appropriate for you, verify your insurance, and schedule the first evaluation.

Take the first step.

Whether you're researching for yourself or for someone you love — we're here to answer questions, verify coverage, and help you decide if Spravato is the right path.

Please do not share medical details on this form. This form is for general inquiries only — your name, phone, and how to reach you. For anything clinical, call us at (276) 345-4304 so we can talk with you directly.

We'll reach out within one business day. If urgent, please call us directly.

In crisis? Call or text 988 for the Suicide & Crisis Lifeline (24/7).