The Spravato® Buy & Bill model can be incredibly profitable for practices treating patients with treatment-resistant depression, but only if managed correctly.
While providers focus on patient care, behind the scenes, drug acquisition costs and payer reimbursement rates determine whether each treatment adds to your bottom line—or becomes a financial burden.
Many clinics unknowingly overpay for Spravato® due to inconsistent pricing across distributors or poor negotiation strategies. This directly impacts margins and creates unnecessary cash flow strain.
At Finnastra, we specialize in helping practices leverage their purchasing power to negotiate the best possible rates with all four authorized Spravato® distributors, ensuring your practice stays profitable while expanding access to care.
The Buy & Bill model means your clinic purchases Spravato® upfront, administers it to patients, and then seeks reimbursement from payers. While this model can deliver higher margins, it also comes with significant risks:
Without a strategic approach to purchasing and billing, these factors can quickly turn a revenue opportunity into a liability.
“We see clinics leaving 15-20% of potential revenue on the table simply because they haven’t optimized their distributor contracts or reimbursement workflows.”
— Leon Stark – Transition Specialist at Finnastra
Janssen has approved four national distributors for Spravato®:
Each distributor offers slightly different:
Most clinics work with only one distributor, limiting their ability to comparison shop or negotiate better terms.
When you work with a dedicated Spravato Billing Company like Finnastra, we bring volume-based leverage and industry benchmarks to the negotiation table—something an individual clinic can rarely achieve on its own.
Our proven strategy combines data, relationships, and negotiation expertise to reduce your cost per dose and protect your margins.
We maintain real-time pricing data from all four distributors and can quickly identify:
Example: One clinic was paying $870 per dose through a single distributor.
After Finnastra’s renegotiation, they dropped to $795 per dose—a 9% cost reduction that added $4,500/month in extra profit.
Finnastra represents multiple Spravato® clinics nationwide.
By pooling our clients’ purchasing volume, we negotiate from a position of strength, securing discounts that individual practices simply can’t access.
Lower drug costs mean nothing if your payer reimbursement rates don’t match.
As a full-service Spravato Billing Company, Finnastra also works directly with payers to:
This holistic approach ensures your practice isn’t caught in a cash flow trap.
Consider a practice treating 20 patients per week, each receiving one 84mg dose:
Annual impact:
20 patients × 52 weeks × $75 savings = $78,000/year in additional profit
Now add in reduced claim denials and faster reimbursement, and the total benefit can easily exceed six figures annually.
Generic billing companies focus only on submitting claims, leaving your practice vulnerable to:
Our Spravato Billing Services are designed to simplify every aspect of Buy & Bill, from inventory forecasting to payment reconciliation, giving you full visibility and control.
When you work with a dedicated Spravato Billing Company like Finnastra, you get:
A mid-sized mental health clinic in New York struggled with:
Within 90 days of partnering with Finnastra, we:
Total annualized financial improvement: $120,000+
Your Spravato® program should be profitable and sustainable, not a source of financial stress.
As a leading Spravato Billing Company, Finnastra ensures every step—from drug purchasing to payer reimbursement—is managed for maximum profitability and compliance.
Our Spravato Billing Services are designed to simplify the Buy & Bill process, protect your margins, and give you peace of mind so you can focus on delivering life-changing care.
If your practice is ready to:
Contact Finnastra today to schedule a consultation.
Together, we’ll build a strategy that turns every treatment into a sustainable revenue driver.
Learn more: Spravato Billing Services
