Spravato, esketamine nasal
Named-patient access overview. Spravato is coordinated by Reserve Meds for international patients via physician-led cross-border sourcing.
About Spravato
Spravato (esketamine nasal) is manufactured by Janssen (J&J) and indicated for Treatment-resistant depression, OUT OF SCOPE (esketamine, DEA Schedule III + REMS in-clinic only; PlatformCo does not handle controlled substances. Also practically infeasible given REMS site-of-care restriction.). It is an intranasal NMDA receptor antagonist (supervised in-office administration under REMS) approved by the US FDA in 2019 and may be accessible to international patients through Named Patient Program or personal-import pathways.
How Reserve Meds coordinates Spravato
- Patient or treating physician submits a named-patient request.
- Clinical team verifies appropriateness of Spravato for the patient and destination country.
- Treating physician issues prescription and clinical justification.
- Country-specific NPP / personal-import documentation is prepared.
- Spravato is sourced from a DSCSA-compliant US specialty wholesaler with full serial traceability.
- Shipment is coordinated to the patient's physician or hospital pharmacy (cold-chain where required).
Access by country
Reserve Meds publishes a detailed country deep-dive for Spravato in every market we coordinate. Each page below covers the destination-country regulatory pathway (named-patient framework), real costs in local currency and USD, indicative timelines, physician-credential requirements, and cold-chain handling for the route into that country. Tap any country to read the full deep-dive.
Start a request for Spravato
Submit a 60-second intake. Our clinical team will reach out as our first cohort opens with case-specific feasibility, timeline, and a formal quote.