Spravato

Spravato® Treatment in Miami Beach - When Nothing Seems to Work

Depression can feel relentless — especially when medications don’t deliver the relief you were hoping for. This isn’t a personal failure. For many people, it means the treatment approach needs to change.

If you’ve been struggling for months or years, it may be time to consider a different option.

Do You Qualify? Do You Qualify?

FDA-Approved Treatment

Insurance Accepted

No Referral Required

We take care of everything

A Different Approach to Depression

Traditional Antidepressants:

Spravato (Esketamine):

How Spravato Works

Spravato targets NMDA receptors in the brain, helping restore communication between nerve cells affected by depression. This mechanism is different from traditional antidepressants and may help support faster symptom improvement.

Your Path To Treatment

1. Eligibility Check 1. Eligibility Check

Quick consultation + insurance verification

2. Personalized Plan 2. Personalized Plan

We handle approvals, scheduling, medication procurement and care coordination

3. In-Clinic Treatment 3. In-Clinic Treatment

Comfortable, medically supervised sessions in our Miami Beach clinic

 

Conditions We Treat

We provide specialized care for individuals with complex or hard-to-treat mental health conditions.

Cost & Insurance

We work with most major insurance providers in Miami, including Medicare.

We verify your benefits before treatment

Medicare Part B eligible

Manufacturer savings programs available

Low out-of-pocket costs for many patients

Why Tristar Wellness

Expert Care You Can Trust

Board-certified psychiatric providers

REMS-certified Spravato clinic

Personalized treatment approach

Monitored treatments to ensure safety, comfort and support

Modern, clean and calming environment

Convenient Miami Beach location with free valet parking

Spravato - FAQs

Some patients report improvement early in treatment, though results vary. Typically relief occurs within hours or days.

No referral required. Our providers evaluate and prescribe directly if appropriate.

Treatment is twice a week for the first month, then once a week for the second month, then once or twice a week thereafter depending on your response to the treatment.  

Spravato is FDA approved and administered under a regulated REMS (Risk Evaluation and Mitigation Strategy) program, while IV ketamine is administered off-label.

Upon arrival, our specialized team will welcome you into a private room and ensure your comfort. They will guide you through the process, allowing you to self-administer the nasal spray while under their supervision. Following the treatment, you will be monitored in our clinic for up to 2 hours to manage any potential side effects. During this time, you are welcome to relax, listen to music, or enjoy other calming activities. The medication may cause drowsiness, you should arrange for transportation to take you home after each visit.

Reanna Ramkhelawan, MS, BS

Founder | Clinic Manager & Director of Operations

Reanna Ramkhelawan is the Founder and Director of Operations of Tristar Wellness, where she oversees day-to-day clinic operations, strategic growth initiatives, and the systems that support high-quality patient care. With more than a decade of experience in healthcare operations and medical practice management, 

Reanna brings a rare blend of operational expertise, technology insight, and leadership to the Tristar Wellness team.

In addition to her role at Tristar Wellness, Reanna is the Founder and CEO of P.C. Practice Management Solutions (PCPMS), a full-service medical billing and practice management company established in 2014. Through PCPMS, she has supported and managed practices across multiple specialties, including primary care, endocrinology, physical therapy, urology, internal medicine, pain management, pediatrics, and addiction medicine. Her expertise spans practice start-ups, insurance contracting and credentialing, revenue cycle management, compliance, staffing, and the implementation of multiple PM/EHR systems

PCPMS Company Profile

Reanna holds a Master of Science in Management Information Systems and a Bachelor of Science in Human Resource Management. She has successfully managed multi-provider, multi-location practices and led large operational teams, ensuring efficiency, compliance, and financial sustainability while maintaining a strong focus on patient experience

Reanna Resume

At Tristar Wellness, Reanna is deeply committed to building operational excellence behind the scenes so clinicians can focus on what matters most — delivering compassionate, effective care. Her hands-on leadership style, attention to detail, and passion for healthcare innovation play a central role in the continued growth and success of the organization.