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TTC After a Loss
lyndsaynicole
member
I'm either ignorant or just stupid....kinda long
lyndsaynicole
member
First, let me just say that I don't know why, but I guess I'm just clueless about the price of prescriptions because I was in for quite a shock this morning when my pharmacy called.
As I said the other night, my doctor prescribed progesterone for me. Long story short, the pharmacy had three days worth-but the doc ordered a months worth for me. When I picked it up, they didn't charge me anything because it wasn't the full prescription. They said it would be ready today. I got a call on my way to work this morning from the pharmacy. She told me that my insurance doesn't cover it and that it costs $462.00..... 
I'm sorry, WHAT?
Yeah, she said she wanted to call me because it was so expensive and she said that the doctor's office should've gotten this all taken care of ahead of time. I called the doctors office and they basically told me, "insurance doesn't typically cover INFERTILITY....." and she said it like she was telling me I had cancer or something. I told them I can't afford almost $500 a month for a prescription-so they said there may be one more option they can check on. I'm supposed to call them back tomorrow and get this all figured out.
I'm so disappointed. DH is too. When I came home and told him all this he got upset and told me I need to find a new doctor because they're not "willing to help" me. I don't know. I just don't know what to do. I was so hopeful about the progesterone. Now I don't know what's going to happen.....
This discussion has been closed.
Re: I'm either ignorant or just stupid....kinda long
BFP-2/4/10 EDD-9/27/10 M/C-2/11/10 7w3d D&C and Methotrexate-2/19/10
BFP-11/21/10 M/C-11/25/10
Clomid Cycle #1-BFN
Clomid Cycle #2-BFP-1/18/2011 M/C-1/26/2011
BFP-5/18/11 Riley arrived 2/3/12 8lbs6oz 21.5in
I'm hoping to find all this stuff out tomorrow because I didn't have a whole lot of time to talk to anyone since I was on my way into work.
I have one more day left of it...and the lady at the pharmacy said I wouldn't have to pay for the three days worth that they gave me, so that's good. But I don't know, as with all prescriptions, I just thought it would be covered and I'd have to pay maybe like $30 or something. Not almost $500!
Now, what's Prometrium? I haven't even heard of that. My doc has me on Crinone 8%. And the nurse who was all blaaahh with me about infertility was just like "I mean, Crinone is usually what we use...it's the most common." Ugh.
2 years, 2 surgeries, 2 clomid fails, 2 IUIs, 1 loss, IVF #1 - 10/25/10 = BFP!, DS is now 3.5yrs!
TTC #2 - 6/12 surgery #3, FET #1 & 1.2 = BFN, 12/2012 FET #2 = BFP! DD is 1.5 yrs!
Surprise! 12/16/14 BFP, loss #2 12/31/14
I can't wait for the "im getting a divorce" post in 5 years or so because your husbands were fed up with your disgusting chair asses from playing on the knot all day and getting fired 4-5 times for not doing any work. you guys are all winners!! ~ Laur929
Thank you-that's good to know. Did your insurance cover all of it or did you still have to pay something monthly?
Dx: MFI- 3% morph
IUIs: Gonal-F + Ovidrel + b2b IUI= BFNs
IVF with ICSI= BFP! EDD 11/25/11
3/18- Beta #1 452! 3/20- Beta #2 1,026!! 3/27- First u/s- TWINS!
Our twin boys arrived at 36w5d due to IUGR and a growth discordance
Be kinder than necessary, for everyone you meet is fighting some kind of battle.
6/14/10 BFP; 6/30/10 Dx ectopic
11/16/10 BFP #2; DD born 7/26/11
Thats what my ins. said when I needed it to help support the PG (it didn't help I still m/c). When they said they didn't cover 'infertility' I was like ... um I am pg!
It ended up a pharmacist in the area was able to compound suppositories (i guess make them from scratch) for me they were messy but only cost my 30 dollars for 30 of them. Maybe you can ask your dr. if someone in the area can do that.
I have Medco too - call and ask, they're usually really great on the phone.
You could also ask your doctor about OTC progesterone cream - I don't know how strong it is, but the doula I used with DS recommends it for all of her clients who have m/c'd.
This. My compounded suppositories weren't covered but only cost me $42 for 30. I just looked it up because they're still in my fridge
This. My compounded suppositories weren't covered but only cost me $42 for 30. I just looked it up because they're still in my fridge
Oh my! That is incredibly expensive! Holy crap - I would have never guessed (so no, I do not think you are stupid or ignorant).
I hope your doctor is able to offer another practical solution for you.
Thank you! I hope so too. I printed out information on three other progesterone supplements that are cheaper. I'm gonna call the doctor tomorrow and then hopefully I will be getting my prescription filled. If not, then tonights my last night of using it. It was fun while it lasted....blah.
How do you feel about shots? PIO is cheap- mine was $10 for a months supply and I have some C.R.A.P. insurance, that's for sure.
I used Endometrin in another cycle which wasn't covered so it was $3 per dose- I don't know about Prometrium though.
I live in NE, and infertility is not covered unless your employer is awesome and requested it covered on the plan (mine didn't and won't, so not awesome) We're completely OOP so I look at the cost of everything!
Good luck