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Many of our patients have been prescribed fertility medications. Whether they are oral or injectable, filling these prescriptions could be confusing and expensive.  Here is some information that may help make your fertility journey a little easier.

·    Can my prescriptions be filled at any pharmacy?

    Yes. 

·    Should I just get them filled anywhere?

    Not necessarily.  All pharmacies can charge different prices (even within the same chain) and many pharmacies don’t keep the medication in stock.  While these pharmacies can order the medications, they are probably not very familiar with this class of medications.

·    Where should I go then?

    Our staff is aware of some local pharmacies that carry these medications and offer competitive pricing.  There are also mail order pharmacies (usually can ship overnight) that specialize in fertility medications and offer some of the best prices and quality customer service.

·    I have prescription coverage; won’t they be covered with my normal co-pay?

    Maybe.  Many insurance companies have placed fertility medications in a special category and the coverage may have different co-pay or the medications might not be covered at all.

·    How can I find out about coverage?

    The best way to find out about your coverage is to contact your insurance carrier.  However, this has proved to be a challenging task for some patients.  Another source of assistance is Fertility LifeLines™ at 1-866-LETS-TRY (1-866-538-7879) or on the web at www.fertilitylifelines.com.

·    It looks like one type of FSH injectable medication is covered but not the one that was ordered by my doctor.  Can we switch for the one that is covered?

    For most of our patients it is possible to change the prescription to the medication that is covered.  The nursing staff or physician can assist in determining if this is possible based on your medical history.

·    If it is okay to change the medication to the covered one, then why didn’t the physician order that one to begin with?

    We try to order what we know will be covered.  However, all insurance policies are different and it is close to impossible for the physician to ascertain which medications might be covered by a specific policy. 

·    Is there a list of injectable fertility medications so I know what to ask the insurance company about?

    Yes.  Under most circumstances the following medications can be used interchangeably:  Repronex, Menopur, Bravelle, Follistim, and Gonal F (also Gonal F RFF, Gonal F multi-dose).  Check with the doctor or nurse regarding your daily dosage as it will vary.