Hey there! I am anxiously awaiting our phone call from the fertility pharmacy on our pricing after insurance coverage for Follistim, Ovidrel, and Antigon. The price at cost was super discouraging when I spoke to my rep on Friday.
Can anyone give me some ballpark figures of your out of pocket costs if you had coverage during this cycle? I am getting really nervous and praying we can do it!
Like everything else it just depends on where you live and where you are getting your meds from. I had to get alot of meds for my ivf cycle. Of course my pharmacy sent it all to me at once. I have micro-lupron(shot form), follistim(shot form), novarel(shot form), tetracycline(pills),prometrium(pills), and climara (patches). Before our insurance it was $6,000 and our cost was $2,901. It is so crazy how much they charge for these meds and also very sad. Anyway good luck and keep us posted on how everything turns out.
If you have to pay out of pocket I know there are programs and other websites you can look into for ordering you medicines vs pharamacies. I know one program is called Compassinate care and for the websites I apologize I dont know them I have just heard about them, maybe someone on this board has used one of them or you can search the internet. Some sound good and reliable, I just have not had to use b/c lucky we have insurance to cover meds. However, I think they are really worth searching into just takes a bit of research. Good luck to you.
Me 33 PCOS, DH 36 low motility
1st IVF hoping spring 2011
It really depends on your coverage. We didn't think our insurance would cover the medications because they did not cover the treatment however, they did and we just had our copay. We had two options-Caremark and Medco. Caremark quoted our copay to be $1,100 for the follistim, menopur, lupron and progersterone IM. Medco (Acreedo speciality pharmacy) quoted us a $260 copay so that's all we paid for IVF meds. When we started FET, they again covered the Lupron and injectible estrogen but said we only had that coverage through the end of 2010. If we start anything this year, we have no coverage :(
Ours is through CareMark as well and they are a rip off. I hope I do not need another cycle and this will be our one and only cycle but if we do we will be going through Success Meds. Thats who our RE uses and they swear they are the cheapest but havent looked into their prices yet so I dont know if they really are alot cheaper or not.
My insurance only cover Lupron. With the Lupron, PIO, and 150u of Follistim and Repronex for 11 days, the total was about $2000. We went through Walgreen's Specialty pharmacy and they were great and the prices were good. Good luck!
Danielle (29) DH (31)...TTC since July '08. MFIF-low morph, low count. IVF/ICSI 1 Aug/Sep '10...BFN. IVF/ICSI 2...probably not for a while.
Thanks everyone! My insurance actually covers fertility drugs as long as there is no procedure (IUI, IVF) and I am hoping the copay is atleast under 800 or 900! I am keeping my fingers crossed! I already know the Ovidrel is $55 and we are waiting to hear if the Follistim and Antigon are being approved!
Did I read this right? Your insurance pays for you to get the drugs but not if you have treatment? That is just messed up. I can understand paying for meds but not treatment, but to pay for meds and then say you can't have treatment? What's the point?
Cherie (36), DH (37), TTC 5 yrs. 1st IUI 11/09, 2nd IUI 1/10, 3rd IUI 2/10 all BFN. 1st IVF ER 6/6/10 ET 6/11/10 BFN. FET 9/28/10, BFP, MC'd 10/25/10
I pay completely out of pocket for meds as well. My Menopur for this cycle was $1,200. My RE's office actually called around for the best price. I use Walgreen's pharmacy for the Menopur only and my RE's office also enrolled me in the discount program. Pretty nice of my office, I think.
Now, I am waiting to hear what the Follistim and micro dose Lupron will cost me....
Kate(31), DH (31), 2 furbabies (Buster and TC), TTC 2 1/2 years, endo,IVF1 7/10 BFN, IVF2 11/10 BFN. Start IVF3 1/11. No go on IVF 3. Waiting until March for next try
So ladies...I got word about my insurance coverage and I could not be happier! For Follistim (600 IU) we only have to cover $100! I couldn't believe it! Our total to start our first round of injections is only $300! We also are going to have to pay for US monitoring but it is not what I had expected! Just wanted to share the good news!
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