Infertility

Cost of Injectibles

Hi-- I am sort of new to fertility treatment.  After trying for 2+ years and failing on oral meds (Femara), we have decided to do injectibles (Follistim and Gonal F?) and IUI.

We are completely OOP.

My RE uses Freedom Pharmacy as he feels they have the best prices-- has anyone else found better deals elsewhere?

 Thanks for your help!

Re: Cost of Injectibles

  • Someone shared a spreadsheet with costs that I kept.  Here are the Follistim and Gonal-F prices.  I think the prices might be a bit old, but should give you an idea.

    Do you know how much you are going to need?

     


     

     

    Rx

    IVFMeds Freedom Pharmacy Alexander's Twin IVPCare Apothecary Shop Schrafts/Walgreens Ascend
    Follistim              
    900 iu Cheaper to buy other sizes $1,048.40 $665.00 $725.04 $707.88 $717.00 $714.00
    600 iu $425.00 $765.60 $450.00 $483.27 $471.92 $478.00 $476.00
    300 iu $212.50 $382.98 $230.00 $241.68 $235.96 $239.00 $238.00
                   
    Gonal-f    Freedom Pharmacy = Only place w/ discounted Gonal-f due to special contract so didn't list prices at other pharmacies  
    900 iu N/A $717.00 N/A N/A N/A N/A N/A
    450 iu N/A $358.50 N/A N/A N/A N/A N/A
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  • My RE has a staff person who allegedly shops around, but I am not sure that really happens.

    Freedom was the cheapest for me on Gonal-f, Luveris and Ovidrel.

    Village Pharmacy was cheapest for Lupron. . .

  • imageNewMrsW:

    My RE has a staff person who allegedly shops around, but I am not sure that really happens.

    Freedom was the cheapest for me on Gonal-f, Luveris and Ovidrel.

    Village Pharmacy was cheapest for Lupron. . .

    And I am OOP and my insurance actually covers Lupron!

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  • I use a pharmacy out of Birmingham (Southern Pharmaceuticals). I've priced around at a few different places and, to be honest, Southern is a little more expensive than the other places I contacted (I did contact Freedom). The reason I keep using Southern, though, is because I do have coverage (with a $100 co-pay) for both Follistim and Menopur, so it doesn't really matter. My progesterone isn't covered and at Southern it is $62 for a 30 day supply. My trigger also isn't covered and that's right at $100. I know that is cheaper other places but I haven't switched.

    As a reference, I'm on 150iu of both Follistim and Menopur. I received 5 cartridges of 300iu of Follistim and the retail price was just under $1,700. I'm getting 1200iu of Menopur total and that was just above $1,600 retail (the Menopur comes in vials of 75iu so I use two every night).

    GL!

    TTC #1 since June 2008 *SAIFW*

    TI, IUIs, IVF = c/ps and BFNs

  • I use Kohll's Pharmacy in Omaha, NE.  You can view their prices online at www.kohllsfertility.com  click on pricing and medications for the list.   They were way cheaper than caremark, etc. for me.

    Compared to the post above, 5 vials of 300iu follistim would cost $1500, and the menopur at the same dose would cost $1072.  I'm OOP as well and watch all my pennies!   Good luck

  • I used Freedom b/c that was the least exp pharmacy I could find for Gonal F.  We were OOP too :(  If you can use Follitism you may find a better deal out there. 
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  • I will need:

    1.  3  pens with 900 iu of  Gonal F, each 780.00, total = 2340.00

    2.  2 pens with 300 Gonal F, each 260.00, total = 520.00

    3.  1 Ovidrel shot = 50.00

    4.  Progesterone, 50 mg (20) = 40.00

     How does this compare to others??

     Thanks!!!

  • imagejacksmom07:

    I will need:

    1.  3  pens with 900 iu of  Gonal F, each 780.00, total = 2340.00

    2.  2 pens with 300 Gonal F, each 260.00, total = 520.00

    3.  1 Ovidrel shot = 50.00

    4.  Progesterone, 50 mg (20) = 40.00

     How does this compare to others??

     Thanks!!!

    That isn't too bad for your meds.  I do think Gonal-F is less expensive than Follistim.  I do know that Follistim overfills their pens - you usually get about 100 IU extra out of each pen (even if it is 300 or 900 IU - you get about 100 IU extra).  I don't know if Gonal-F overfills their pens.

    My IVF meds run about $5,000 - $7,000/cycle, so I think you are doing pretty good at under $3,000.

    Does your insurance not cover Progesterone?  My does because it is prescribed to maintain pregnancy - not just for IVF.

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  • imagenjohnson1972:
    imagejacksmom07:

    I will need:

    1.  3  pens with 900 iu of  Gonal F, each 780.00, total = 2340.00

    2.  2 pens with 300 Gonal F, each 260.00, total = 520.00

    3.  1 Ovidrel shot = 50.00

    4.  Progesterone, 50 mg (20) = 40.00

     How does this compare to others??

     Thanks!!!

     

    Does your insurance not cover Progesterone?  My does because it is prescribed to maintain pregnancy - not just for IVF.

    That's so interesting. My coverage is so strange..I do have the Follistim and Menopur coverage (w/$100 co-pay) but they do not cover progesterone. At all. Even the pharmacy rep yesterday commented on how spotty and odd my coverage is...

    TTC #1 since June 2008 *SAIFW*

    TI, IUIs, IVF = c/ps and BFNs

  • Thank you, thank you, thank you!!!

    I still feel a little cluleess about all of this, so it's reassuring to get others' feedback/experiences.

     I will check with my ins co too about the prog.

  • imagenjohnson1972:

    And I am OOP and my insurance actually covers Lupron!

    Does Lupron have a different primary use?  I am OOP, but my insurance covered my Femara.  I think that was because it was primarily a cancer treating drug.

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  • imagemadelyn07:
    imagenjohnson1972:
    imagejacksmom07:

    I will need:

    1.  3  pens with 900 iu of  Gonal F, each 780.00, total = 2340.00

    2.  2 pens with 300 Gonal F, each 260.00, total = 520.00

    3.  1 Ovidrel shot = 50.00

    4.  Progesterone, 50 mg (20) = 40.00

     How does this compare to others??

     Thanks!!!

     

    Does your insurance not cover Progesterone?  My does because it is prescribed to maintain pregnancy - not just for IVF.

    That's so interesting. My coverage is so strange..I do have the Follistim and Menopur coverage (w/$100 co-pay) but they do not cover progesterone. At all. Even the pharmacy rep yesterday commented on how spotty and odd my coverage is...

    Madelyn - I saw that and thought it was strange that your insurance didn't cover Progesterone.  Basically, my insurance will cover estrogen, progesterone, Valium, anti-biotics, and lupron for my IVF cycles since each of those meds can be used for another approved purpose.  Just not the stims or trigger since those are only for IF treatment.

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  • imagenjohnson1972:
    imagemadelyn07:
    imagenjohnson1972:
    imagejacksmom07:

    I will need:

    1.  3  pens with 900 iu of  Gonal F, each 780.00, total = 2340.00

    2.  2 pens with 300 Gonal F, each 260.00, total = 520.00

    3.  1 Ovidrel shot = 50.00

    4.  Progesterone, 50 mg (20) = 40.00

     How does this compare to others??

     Thanks!!!

     

    Does your insurance not cover Progesterone?  My does because it is prescribed to maintain pregnancy - not just for IVF.

    That's so interesting. My coverage is so strange..I do have the Follistim and Menopur coverage (w/$100 co-pay) but they do not cover progesterone. At all. Even the pharmacy rep yesterday commented on how spotty and odd my coverage is...

    Madelyn - I saw that and thought it was strange that your insurance didn't cover Progesterone.  Basically, my insurance will cover estrogen, progesterone, Valium, anti-biotics, and lupron for my IVF cycles since each of those meds can be used for another approved purpose.  Just not the stims or trigger since those are only for IF treatment.

    I know, it is so strange! That's exactly what I told DH yesterday...so weird that I have no IF coverage but they will cover meds specific to IF but not meds that have multiple purposes. The state of Alabama is strange I guess Stick out tongue

    TTC #1 since June 2008 *SAIFW*

    TI, IUIs, IVF = c/ps and BFNs

  • imagejlcrane78:
    imagenjohnson1972:

    And I am OOP and my insurance actually covers Lupron!

    Does Lupron have a different primary use?  I am OOP, but my insurance covered my Femara.  I think that was because it was primarily a cancer treating drug.

    From Wikipedia:

    Like other GnRH agonists, leuprolide (Lupron) may be used in the treatment of hormone-responsive cancers such as prostate cancer or breast cancer, estrogen-dependent conditions (such as endometriosis[1] or uterine fibroids), to treat precocious puberty,[2] and to control ovarian stimulation in In Vitro Fertilization (IVF). It is considered a possible treatment for paraphilias
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