THE newest approach to treating depression

Spravato/esketamine is an insurance-covered revolutionary approach to healing major depression!

Spravato Process Overview

Check out our 2 minute overview of the Spravato treatment process

Depression is hard.
Treating it shouldn't be.

Depression can be suffocating in the way it affects every aspect of your life, the way it makes even the simplest tasks appear totally unaccomplishable... 

Our clinical and support teams understand depression like no one else. They do everything possible to make the process smooth and easy for our patients. 

From designing a quick online registration, to offering telemedicine evaluations, to fighting with insurance companies on our patient's behalf, we are there for our patients!

Spravato works!

Works fast

In this study, treated patients started doing better than those getting a placebo within 24 hours!

Results improve

As time passes depression symptoms continue to decrease. 

Keeps on working

4 year data shows that response to Spravato does NOT fade with time. Patients get better and stay better!

Our Google Reviews

Patient Costs / Insurance Coverage

Aetna, Cigna, Horizon, Medicare & United

These insurance plans include coverage for Spravato in their policies. Our dedicated insurance coverage team will get your depression care covered and make sure your out-of-pocket costs and expenditures are minimized. 

Janssen's SpravatoWithMe

No matter what type of coverage you have – Janssen's SpravatoWithMe team can investigate your insurance coverage, potential out-of-pocket costs (usually around $10/treatment) and will even help you find programs that can cover the cost of Spravato treatments for those without adequate insurance coverage.

Spravato FAQ

SPRAVATO™ is taken with a daily oral antidepressant
You administer SPRAVATO™ nasal spray yourself under the supervision of a healthcare professional at a certified SPRAVATO™ treatment center
SPRAVATO™ is taken twice a week for the first four weeks
After the first four weeks, SPRAVATO™ is taken once a week for a month
After this, SPRAVATO™ is usually taken either once a week or once every two weeks

Most major insurances (Aetna, Cigna, Horizon, United, Medicare) cover SPRAVATO™ treatments. Additionally, various support programs from Janssen Pharmaceuticals help patients cover the costs of medication and of administration/observation.

No, administered at small doses in a medical setting, there is no evidence that Spravato is addictive. In contrast, those who abuse this medication recreationally do so at very high doses to induce psycho-active affects.

No, clinical experience suggests that Spravato is especially effective for patients with treatment-resistant depression, including those who have already tried ECT and/or TMS without benefit. In fact, literature suggests that the patients MOST resistant to other treatments tend to have the greatest response to Spravato!

In clinical studies, improvement of depressive symptoms was demonstrated at four weeks by SPRAVATO® plus an oral antidepressant, compared with placebo nasal spray plus an oral antidepressant. Not all patients will respond to SPRAVATO®. Many patients respond as early as after the first treatment, while others see major improvements after a few months of treatment. Our experience has been that almost everyone leaves their first Spravato session more relaxed and less pessimistic about the future!

Some (very few) patients taking SPRAVATO® may experience nausea or vomiting. Because of this, you should avoid eating two hours before, and drinking liquids 30 minutes before, taking SPRAVATO®.

Studies suggest that once improvement is seen, it is sustained over time!

The current recommended treatment protocol is for 2x a week treatment for the 1st 4 weeks, then weekly treatments weeks 5-9. Thereafter, treatment frequency is once every 1-2 weeks. There are now studies demonstrating efficacy of Spravato for over 4 years!

Although it is given as an intranasal spray, the FDA has highly regulated Spravato. The FDA has also required that Spravato be administered in the practitioner’s office with a 2 hour post-application monitoring period in the office.

Potential Side Effects

Although we rarely see side effects, these four are the ones most commonly reported
We monitor your blood pressure for our NJ Spravato depression patients
Hypertension

Your blood pressure may rise for a few hours after Spravato administration. We will actively monitor your pressure during your treatments.

We can offer patients treatment for our NJ Spravato depression patients
Nausea

Some patients report feeling transiently nauseous. This is usually fairly mild and we have never had a patient get nauseous to the point of vomiting.

We monitor your blood pressure for our NJ Spravato depression patients
Dissociation

Some patients report times during their treatment when they're able to step outside of reality and get a different perspective on the issues central to their depression.

We make sure you're safe before you are discharged after your NJ Spravato depression treatment
Sedation

Most patients get a little sleepy during their treatments. Patients relax on a recliner in a softly lit room, under a cozy blanket, listening to music or simply resting.

Our clinical team

David Boguslavsky, MD
David Boguslavsky
Medical
Doctor
Jacquelyn Bruno, APN
Jacquelyn Bruno
Advanced Practice Nurse
Marie Gawronski, PAC
Marie Gawronski
Physician
Assistant
Scott
Lisa
Physician
Assistant
Erika
Najmi
Advanced Practice Nurse

About PremierMD

We have been in clinical practice since 2006 helping patients such as yourself. We are family physicians, embracing complementary and alternative approaches to healing, from Medical Acupuncture to Medical Marijuana, and now Spravato/esketamine.

We have always put patients above profits, and have never compromised patient care to meet some absurd insurance company metrics. Our clinical team is accessible 24/7 to our patients.  

Spravato: A Patient's Perspective

Contacts

We're always happy to hear from our prospective patients.

Address

757 Route 202-206
Suite 104
Bridgewater, NJ 08807

Working Hours

Monday - Friday 7:45A - 5P
Saturdays 8A - 2P

Our NJ Locations

Bridgewater

Morristown

Multiple Spravato Treatment Centers coming soon to New York City.