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Insurance denied Femara dose

notquiteblushingnotquiteblushing member
in Trouble TTC

The pharmacist said it came back as an overdose.  5mg.  I was at work so I didn't get to go to the pharmacy until 6:30.  Now I'm waiting to see if the powers that be can approve it by 9 when the place closes.  Who needs to ovulate anyway?  Crying

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Re: Insurance denied Femara dose

  • kellyrn9956kellyrn9956 member

    Femara is FDA approved only for breast cancer, at a dose of 2.5mg daily. I'm actually surprised that more Femara for IF Rx's are not denied.

    I hope that you can get the coverage worked out. The drug is pretty pricey if you can't.

    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...
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  • notquiteblushingnotquiteblushing member
    imagekellyrn9956:

    Femara is FDA approved only for breast cancer, at a dose of 2.5mg daily. I'm actually surprised that more Femara for IF Rx's are not denied.

    I hope that you can get the coverage worked out. The drug is pretty pricey if you can't.

    Oh that explains it then.  I hope so too.

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  • Killer TomatoKiller Tomato member
    Ugh. That is a perfectly reasonable dosage! I hope you get it ironed out!
    4 IUIs: Bfn
    Antagonist IVF 7 retrieved, 4 fert w/ICSI&AH, 2 blasts transferred. Beta #1 9/20: 367 Beta #2 9/22: 841
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  • daiseydoodadaiseydooda member
    I was on 2.5mg twice a day, maybe if they reword the dosage it may work.






          


     TTC since 9/10 consult 1/12 All testing came back fine Diagnosed with Unexplained infertility -3 medicated IUI's All BFN IVF - ER 11/14 24R, 15M, 13F ET 11/19, BETA 11/28 BFFN --Next step FET in Jan ET scheduled for 1/24. Beta #1 350 Beta #2 735. U/S Hell. miscarriage D&C at 9weeks. FET #2 ET 5/28 cancelled FET# 2.5 6/26 ET Beta 7/5 302 7/7 Beta #2 632 Everyone welcome



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  • notquiteblushingnotquiteblushing member

    imagedaiseydooda:
    I was on 2.5mg twice a day, maybe if they reword the dosage it may work.

    That's how it was worded.  Crying

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  • buckeyebaby814buckeyebaby814 member
    imagekellyrn9956:

    Femara is FDA approved only for breast cancer, at a dose of 2.5mg daily. I'm actually surprised that more Femara for IF Rx's are not denied.

    I hope that you can get the coverage worked out. The drug is pretty pricey if you can't.

    ^^This would be my guess.  My RE doesn't regularly use Femara for that reason.  I know this would suck- but would the pharmacy at least fill 2.5mg with insurance and the other 2.5mg OOP?  I don't know how all that works, or if they're even allowed, but just a thought.


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    CFNBC after 8 losses and IF || History || My Angel Babies

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  • pulga131pulga131
    Why not ask for 2.5 mg 10 pills or double however many pills they wanted and you can just take 2 a day
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  • notquiteblushingnotquiteblushing member
    UPDATE: The pharmacy called so I ran back out there and got my pills, yay!  And I managed to pull off an excellent parallel parking job when I got back home, in front of a whole crowd of people sitting on their stoop.  Success.
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  • knollknoll

    I take femora and take 3 a day so 7.5 MG... Crazy your ins wouldn't cover it.. sounds like dr needs to word it different..

     glad it worked out! 

     

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    "To achieve the life you want, you must first give up the life that you have." ~Carolyn Myss
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  • notquiteblushingnotquiteblushing member

    imagepulga131:
    Why not ask for 2.5 mg 10 pills or double however many pills they wanted and you can just take 2 a day

    That's how it was written but they still wouldn't give it to me at first because it said to take 2 of them a day.  I'm glad they sorted it out.

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  • Killer TomatoKiller Tomato member

    imagenotquiteblushing:
    UPDATE: The pharmacy called so I ran back out there and got my pills, yay!  And I managed to pull off an excellent parallel parking job when I got back home, in front of a whole crowd of people sitting on their stoop.  Success.

    Hooray! 

    4 IUIs: Bfn
    Antagonist IVF 7 retrieved, 4 fert w/ICSI&AH, 2 blasts transferred. Beta #1 9/20: 367 Beta #2 9/22: 841
    image image
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  • pulga131pulga131
    imagenotquiteblushing:

    imagepulga131:
    Why not ask for 2.5 mg 10 pills or double however many pills they wanted and you can just take 2 a day

    That's how it was written but they still wouldn't give it to me at first because it said to take 2 of them a day.  I'm glad they sorted it out.

    Well that's just Silly.  Glad it worked out  

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