Find REMS certified Spravato (esketamine) clinics near you. Every location below is a verified provider of the only FDA approved nasal spray treatment for treatment resistant depression.
What Is Spravato?
Spravato is the brand name for esketamine, a nasal spray derived from ketamine. The FDA approved it in 2019 for adults with treatment resistant depression. In 2020 it received a second approval for depressive symptoms with suicidal ideation. Patients self administer the spray under the supervision of a certified healthcare provider. Sessions happen twice a week at first, then taper down to once weekly, then every two weeks as symptoms improve.
Nearby Spravato Clinics
Displaying Spravato clinics near: London, England GB
How Spravato Differs From IV Ketamine
Both treatments use the same parent compound. But the delivery method and approval status separate them. Spravato is an FDA approved nasal spray, covered by most major insurance plans including Medicare. It contains esketamine, the S enantiomer of ketamine. Sessions are administered in clinic with a two hour observation period. IV ketamine is considered off label for depression, not FDA approved for mental health use, and typically cash pay. It uses racemic ketamine (both R and S enantiomers) delivered through an infusion over 40 to 60 minutes.
Who Qualifies for Spravato?
The FDA label requires patients to have tried at least two prior antidepressants without adequate response. That is the clinical definition of treatment resistant depression. Patients must be at least 18 years old. Spravato is always prescribed alongside an oral antidepressant, not as a standalone therapy. Pregnant patients, people with uncontrolled high blood pressure, and those with a history of certain heart conditions should discuss alternatives with their doctor. Every clinic on this page is REMS certified, which is the federal designation required to dispense Spravato.
Insurance and Cost
Insurance coverage is one of Spravato’s biggest advantages over off label ketamine. Most commercial insurance plans cover Spravato when a patient meets the treatment resistant depression criteria. Medicare Part B covers the drug and the observation visit. Out of pocket costs vary by plan, but patient responsibility typically runs between $0 and $125 per session after insurance. A full induction course averages 8 sessions over the first month. Janssen, Spravato’s manufacturer, also runs a copay assistance program called Spravato withMe for eligible patients.
What to Expect at a Spravato Appointment
You arrive at the clinic, check in, and are brought to a private treatment room. A nurse or certified provider walks you through the nasal spray device. You self administer the dose under their supervision. Then you rest in the treatment room for about two hours while the clinical team monitors your blood pressure and any dissociative effects. You cannot drive yourself home after a session, so patients arrange a ride or rideshare. Side effects like dizziness, mild nausea, and temporary disorientation usually fade within the observation window.
Quick Links for Spravato Information
Spravato is one of the most researched psychiatric treatments of the last decade. Before booking a consultation, spend a few minutes reading the background material below.
- Spravato Reviews: What People Love and Hate About Nasal Ketamine
- Spravato Cost and Insurance Coverage: What You Will Actually Pay
- IV Ketamine vs Spravato: A Provider’s Guide to Both Treatment Paths
- For Clinics: The Fastest Way to Add Spravato
- Ketamine Clinics Near Me
- Insurance Coverage for Ketamine Therapy
Spravato Clinics by State
Browse verified Spravato providers across the country. Each clinic listed below is REMS certified and verified by HealingMaps.
Browse all states with Spravato providers â–¾
California (97 total): Velara Wellness – San Diego, Inspire Psychiatric – Carlsbad, TMS Therapeutics – La Mesa
New York (29 total): Curated Mental Health – New York City, Good Health Psych – Brooklyn, Renue Wellness – New Hyde Park
Florida (23 total): Nushama – Aventura, Neurospa Lakewood Ranch – Lakewood Ranch, Neurospa Brandon – Brandon
Illinois (22 total): Holistic Behavioral & TMS Therapy – Aurora, Luxury Psychiatry Clinic – Chicago, Golden Hour Wellness – Naperville
Texas (19 total): Houston Mind & Brain – Houston, Ketamine Infusion Therapy Houston & Sugar Land – Sugar Land, NorTex Psychiatry – Allen
Colorado (18 total): Around the Block Health Care – Colorado Springs, Colorado Psychiatry Solutions Monument – Monument, Axis Integrated Mental Health – Westminster
Arizona (11 total): Lighthouse Psychiatry Scottsdale – Scottsdale, Lighthouse Psychiatry Gilbert – Gilbert, Complete Ketamine Solutions Phoenix – Phoenix
Connecticut (10 total): Yale New Haven Psychiatric Hospital – New Haven, Greenbrook TMS Fairfield – Fairfield, Greenbrook TMS East Haven – East Haven
Massachusetts (9 total): Brigham and Women’s Faulkner Hospital Ketamine Clinic – Jamaica Plain, Wholesome Psychiatry – South Boston
Virginia (9 total): Columbia Mental Health – Arlington, Avesta Ketamine and Wellness Tysons – Tysons
Georgia (9 total): Complete Ketamine Solutions Atlanta – Atlanta, Mindful Health Solutions – Marietta
Tennessee (8 total): Waybridge Clinics – Nashville, Revitalist – Johnson City
Washington (8 total): Mindful Health Solutions – Seattle, Seattle NTC – Kitsap
Alaska (6 total): Achieve Medical – South Anchorage, Greenbrook TMS – Anchorage
Maryland (5 total): Bethesda Psychiatry MD – Chevy Chase, Vita Nova Ketamine & Wellness Clinic – Baltimore
Minnesota (5 total): Sonder Behavioral Health & Wellness – Minnetonka, Diamond Lake Clinic – Minneapolis
Arkansas (5 total): New Path Mental Health & Wellness Conway – Conway, New Path Mental Health & Wellness Little Rock – Little Rock
Iowa (5 total): Van Diest Medical Center – Fort Dodge, Van Diest Medical Center – Stratford
Idaho (4 total): H3O Wellness – Twin Falls, Anywhere Clinic – Boise
Indiana (4 total): Indy Behavioral Health – Indianapolis, Hendricks Therapy – Plainfield
Michigan (4 total): Helios Psychiatry and Counseling – Troy, Rochester Center for Behavioral Medicine – Rochester Hills
North Carolina (4 total): North Carolina Institute of Advanced NeuroHealth – Apex, GPW Psychiatry – Raleigh
Pennsylvania (4 total): The Good Drop – Avoca, UPMC Center for Interventional Psychiatry – Pittsburgh
New Hampshire (3 total): Awaken Ketamine Healing Studio – Londonderry, Oasis Therapeutics – Concord
OH (3 total): Mid-Ohio Behavioral Health – Ohio Behavioral Health — Columbus, Ohio Psychiatric Services & TMS Center – Hilliard
Ohio (3 total): Ketamine Health & Wellness Clinics of Ohio – Dublin, New Pathways Clinic – Dublin/Columbus
Utah (3 total): Numinus American Fork – American Fork, Numinus Layton – Layton
Maine: CoRecover – South Portland, R.I.S.E. Integrated Mental Health – York
South Dakota: Conklin Clinics – Aberdeen, PAX Institute – Sioux Falls
Nebraska: South Omaha Medical Associates (SOMA) – Omaha, Waybridge Clinics – Omaha
Wyoming: High Country Behavioral Health – Douglas, High Country Behavioral Health – Evanston
Hawaii: The Kahala Clinic – Honolulu, Advanced Psychiatric Therapeutics – Honolulu
Nevada: Bespoke Treatment – IOP, Ketamine & TMS Therapy – IOP, Ketamine & TMS Therapy – Las Vegas, Radiance Ketamine Clinic – Reno
Kansas: Dr. Irfan A. Handoo – Leawood, Advanced Infusion and Wellness Center – Wichita
Alabama: Wholistic Health – Theodore, Crestline Health and Wellness – Birmingham
Oklahoma: Mind Mood Pain – Moore, Advanced Ketamine Services – Edmond
Vermont: OneBreath Vermont – Williston
Mississippi: Gulf Coast NeuroSpa – Gulfport
Montana: Sub Rosa Therapy – Bozeman
Wisconsin: Relief Mental Health – West Allis
DC: Avesta Ketamine and Wellness Washington – Washington
Saskatchewan: Linden Medical Center – Saskatoon
Louisiana: Neuromend Infusion Center – Lafayette
Mexico: Ketamine Health Centers – Mexico City
New Jersey: Restorative Infusions – Paramus
Related Searches
Patients searching for Spravato clinics often use these alternate phrases: esketamine clinic near me, nasal spray depression treatment, FDA approved depression nasal spray, REMS certified Spravato clinic, treatment resistant depression clinic near me. If you were searching for one of these, you are in the right place. Every provider on this page is verified against Janssen’s REMS certification and our HealingMaps editorial review process.
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