Trouble TTC

HCG shot is $175!

Sorry to repost this...I accidentally put in on TTGP and meant to put here.

Is this normal? I called about 8 pharmacies and was told my insurance doesn't cover it...not even partially. This seems like such a common med, I can't believe it's not covered!! I know every insurance is different, but I thought I had a good one and this really sucks!! In addition, not a single pharmacy had it in stock, so they had to order it and said it would be here in 24 hours. Are their cheaper online places to order this next time?

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Re: HCG shot is $175!

  • Does your clinic/doc have HSG shots they can give you rather than you do it yourself? My clinic did that and it was only $100 (maybe b/c they get a better deal or something?). Just a thought. 
    Me: 31yrs old. In same/sex relationship for 12years
    I'm carrying & we are using anonymous donor sperm
    In March 2012 diagnosed with Diminished Ovarian Reserve (AMH = O.67) & IVF recommended

    FET (2 5dt embryos) on 11/5/12= BFP! Beta #1=58; Beta #2=98, Beta #3=373. First u/s on 11/28/12 = 1 sac with fetal pole & heartbeat! Next u/s = 12/12/12

    TTC History
    IVF#1 (Antagonist Protocol) Sept 2012 = BFN
    10R; 8F; 4 Day5 GradeA embryos. Put back 2, froze 2.
    12 IUIs (in 9 cycles) since March 2011:
    6 unmedicated/unmonitored = BFNs
    3 with Clomid/Trigger/monitoring/progesterone = BFNs
    "The Spirit of God moves over the formless void, over the darkness and deep, over the surface of the waters. When there is nothing...God is still there."

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  • My Ovidrel is $92.20 through Walgreens Specality (not covered)

    Freedom Fertility is around $95

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  • Mine is $120 OOP. That seems high.

    PAIF/SAIF welcome
    PCOS-IR / Hypothyroid
    IUI#1-3: 100mg Clomid + Ovidrel trigger = BFN
    imageimageimage
  • IF is expensive.
    imageimage. image 

    || 4 years TTC, 2 M/Cs image 4 failed IUIs, 1 failed IVF || 

    || DIA brought us our beautiful daughter || 

    Baby Birthday Ticker Ticker
  • Ok, I'm confused now because mine was $64.
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  • Mine is the genertic of Novarel, and it's $59 from Walgreen Specialty. I tried going through CVS Specialty (my Rx coverage is through CVS) and the Novarel name brand was $110 so Walgreens it is!

    **PAIF/SAIF Welcome**
    TTC #1 March 2010 - Nov 2012
    Me: 29, PCOS (anov), Hashimoto's Disease // DH: 30, normal SA
    3 Clomid, 1 Clomid/Menopur, 1 Menopur w/ TI (CX 4x's due to cysts) - All BFN
    1 Clomid/Menopur, 2 Menopur, 1 Follistim w/ IUI - All BFN
    RPL & Karyotype testing normal


    IUI #5 (12/1/12) --> Follistim + 1/3 hCG Trigger = BFP! EDD: 8/23/13
    Betas --> 61 (13dpo) // 156 (16 dpo) // 223 (18dpo) // 656 (21 dpo)
    U/S --> 5w0d - sac seen // 6w0d - hb detected // 7w0d - hb seen and heard, measuring 6w6d!
    8w6d - wiggly baby! // 9w3d - wiggly baby with fingers!

    Baby boy born 8/24/13

    imageimageimage 

      My Blog: Searching for Lucky Socks

  • I get mine done at my monitoring ultrasound and they charge $85.  I'm not sure what they use as far as namebrand, but find it weird at all the varying prices.
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  • I had HCG with my first RE and my INS covered. I had a $5 copay.. I had Ovidrel which im taking tomorrow through my new RE.. My INS which is Caremark (CVS) wouldnt cover it and it was like $100 something. My REs office ordered through Mandells ( a pharmacy through New Jersey).

    How do you go through a normal pharmacy like Wlagreens specialty I Didnt know they had that.

     

    Im curious why the HCG was covered but not the Ovidrel

    My blog: Cant make it clickable! http://nollfamily10.blogspot.com/
    "To achieve the life you want, you must first give up the life that you have." ~Carolyn Myss
  • Last time I got one it was $115 at regular old Walgreens.  I was informed by my insurance that they would now start covering part of the cost but that it had to be done through a specialty pharmacy and when I was ready to have another one to call them to find out where to get it.  Anything to lower that OOP cost, I will take!

    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
    Child Free Now?
    S/PAIFW , S/PALW

    My Blog

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  • I've never heard of these Walgreens "Specialty." I live in CA and I am not sure we have those here... I am going to look into all of these suggestions though. Thanks  to everyone!! I knew IF was going to be expensive, but I just thought at least initially it would be cheaper. My Clomid is covered, so I was confused why this wasn't.
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  • imageRRL2012:
    I've never heard of these Walgreens "Specialty." I live in CA and I am not sure we have those here... I am going to look into all of these suggestions though. Thanks  to everyone!! I knew IF was going to be expensive, but I just thought at least initially it would be cheaper. My Clomid is covered, so I was confused why this wasn't.

    Where in CA are you?  I get most of my meds from mdrusa.com, which is in Encino and Westwood (Southern CA).  They have overnight delivery and I believe last cycle's HCG was around $100.  You can also google Walgreens Specialty pharmacys to see where they are located.  I checked into those and there were a couple in the area.  It was more expensive than MDR so that's why I didn't go with them.  GL!

    Brandon Le born 9/9/13 as a result of IVF#1


  • Do you know what specific drug you'll be using? Ovidrel, Novarel? If your Clomid was covered, you probably have fertility drug coverage, so I am wondering if the specific drug prescribed to you is not a preferred product through your insurance. I would call them and ask why it wasn't covered. Drug plans normally have "tiers" of coverage, and preferred and non-preferred products.

    For example, we chose to go with Follistim for my IUI because it was a preferred product, whereas Bravelle was not and was therefore not covered.

    Started TTC 2/2009
    Started fertility treatments 11/2010
    Ovarian dysfunction, LPD, male factor
    6 failed medicated IUI's
    Pregnant 5/2011 - Miscarriage at 6 weeks due to triploidy
    Decided to adopt - 6/2012
    SURPRISE! Pregnant without intervention - 7/2012 
    Sweet Baby James Born 3/2013
    Decided to be "One and Done"

    ....OR NOT.
    Pregnant 12/2018 despite birth control pills
    Here we go again...
    Due 8/26/19!
  • I almost posted about this yesterday!

    When I called Walgreens, they quoted me..... $255!!!!!!!

    My nurse told me however, that if it was more than $92.50, to let her know, and she would call it in through walgreens specialty. Go figure.

    2/12: 100 mg Clomid + Bravelle last minute+ back to back IUI. BFN
    3/12 150mg Clomid + B2B IUI =BFP!! TWINS!
    Vanishing twin at week 6
    Tater-tot born January 3rd 2013

    2 IUI's in 2016- BFN
    3 IUI's in 2017- BFN
    8/17 IUI BFP!!!!!!!!
  • imageKdgTeacher:

    My Ovidrel is $92.20 through Walgreens Specality (not covered)

    Freedom Fertility is around $95

    I've used Freedom Fertility each time for Ovidrel.  It is $65 + a $30 processing fee.  If your RE writes your RX with refills, you are charged the processing fee the first time, but only the $65 for each refill.


    TTC started Oct '10
    Me: AMA w/RSD, atypical PCOS w/IR, LPD and High Prolactin. Controlled HP post-loss.
    DH: Low-T and borderline morph
    18 cycles, 3 medicated w/RE to get to a BFP!
    EDD 9/7/12, Saw HB @7w3d,missed m/c 1/30 @8w3d, d&c 2/8
    11 AL cycles, 9 medicated/IUI cycles. All BFFN!
    Moving forward with IVF
    BFP#2 our little cycle break surprise on AL cycle 12! EDD 10/27/13
    Beta #1: 41 Beta #2: 398; perfect u/s 3/11 hb @133bpm
    u/s 3/25 one perfect hb @183 bpm, adjusted EDD 10/23/13
    MaterniT21 and carrier screens normal. It's a girl!!!
    Severe Pre-E, HFpEF, PE, AMA & IF= OAD

    imageimageimage
    Lilypie Premature Baby tickers
    All IF/AL Welcome!
  • imagemaggie2324:
    Ok, I'm confused now because mine was $64.

    Its crazy how the prices differ so much. Initially I wished I could have shopped around instead of my Dr calling it in for me. Not so much anymore.

    The $64 was for generic, I'm not sure which generic it is though. It just says Chorionic Gonadotropin 10,000 HCG. 

    It's Barron Pharmacy in Beechwood Ohio. It was shipped to me with their 2 day shipping, but I got it next day. I'd definitely shop around if you're paying more than that! Sounds like you can save a lot!

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  • I pay $99 for Ovidrel through Walgreens.
    ________________________________________________________________________
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  • Thanks everyone!!! That is very helpful! Will definitely be doing more investigating into these options before my next round!
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  • I got mine (Norvarel) from RE through Ascend Rx.  The RE gave it to me and Ascend called me to bill me..anyways it was $82.  And my insurance doesn't cover ANY fertility medicine except femara
  • imageRRL2012:
    I've never heard of these Walgreens "Specialty." I live in CA and I am not sure we have those here... I am going to look into all of these suggestions though. Thanks  to everyone!! I knew IF was going to be expensive, but I just thought at least initially it would be cheaper. My Clomid is covered, so I was confused why this wasn't.

    Walgreens speciality are specific pharmacies that carry a much larger number of the more exotic prescriptions in stock. The one I go to when I need same day refills of follistim/menopur is located on the first floor of a hospital complex. My local Walgreens doesn't carry most fertility meds-  and I usually have to call I my frolic acid a day in advance so they can get enough in stock to refill me- and they can never seem to manage to scrape together enough for a 90 day supply. 

    image
    Friends for 17 years. Married 10. TTC since Jan 2009.
    3 IVFs, 4 FETs, 11 transferred embryos, 3 losses (c/p, 6w, 17w)
    2012: Lost "Peanut" at 17weeks to PTL/IC.
     Lilypie Angel and Memorial tickers
    2013: IVF#3/FET#4  Elisabeth CJ born April 30, 2014
    Cerclage, P17, and 3 months of bed rest brought us our Rainbow.
    Lilypie Premature Baby tickers
     Dum spiro, spero.
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