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Are there any IVF meds usually not covered by insurance?

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LIfam1
LIF Infant

Member since 5/10

231 total posts

Name:

Are there any IVF meds usually not covered by insurance?

I've found out that viagra suppositories aren't covered but is there anything else usually not covered by insurance?

Posted 12/29/11 2:50 PM
 
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mig
LIF Adolescent

Member since 11/10

888 total posts

Name:

Re: Are there any IVF meds usually not covered by insurance?

I think it all depends on what kind of insurance you have.

Posted 12/29/11 3:32 PM
 

OrganicMama
So in love with my little man!

Member since 6/08

5172 total posts

Name:
Mama

Re: Are there any IVF meds usually not covered by insurance?

I don't think Lupron is covered either (the pharmacist said they won't even submit it to the ins companies because they don't pay nearly enough for it).

Posted 12/29/11 5:30 PM
 

PennyCat
Just call me mommy :)

Member since 7/08

19084 total posts

Name:
Jib

Re: Are there any IVF meds usually not covered by insurance?

Posted by OrganicMama

I don't think Lupron is covered either (the pharmacist said they won't even submit it to the ins companies because they don't pay nearly enough for it).



I actually just paid $25 for lupron! I think it really depends on the insurance........

Although, I feel like even with consistently having the same insurance, I am always told something different Chat Icon It's very frustrating!

Posted 12/29/11 5:33 PM
 

AngnShaun
Sisters

Member since 1/10

21015 total posts

Name:
Ang

Re: Are there any IVF meds usually not covered by insurance?

It definitely depends on the insurance... Neupogen is not a conventional drug for IF purposes and dr b said it most likely wont be covered.... I got lucky and they did... BUT i got a letter from my insurance co that i can only get that "specialty" drug through their mail order pharmacy....

Posted 12/29/11 5:52 PM
 

Leb
LIF Adult

Member since 12/09

4166 total posts

Name:

Re: Are there any IVF meds usually not covered by insurance?

Posted by PennyCat

Posted by OrganicMama

I don't think Lupron is covered either (the pharmacist said they won't even submit it to the ins companies because they don't pay nearly enough for it).



I actually just paid $25 for lupron! I think it really depends on the insurance........

Although, I feel like even with consistently having the same insurance, I am always told something different Chat Icon It's very frustrating!



Lupron was covered for me with a $50 co-pay, follistim was also $50, femara $25. And ovidriel was never covered and I always paid $105 for it.

Posted 12/29/11 5:58 PM
 

OrganicMama
So in love with my little man!

Member since 6/08

5172 total posts

Name:
Mama

Re: Are there any IVF meds usually not covered by insurance?

Posted by PennyCat

Posted by OrganicMama

I don't think Lupron is covered either (the pharmacist said they won't even submit it to the ins companies because they don't pay nearly enough for it).



I actually just paid $25 for lupron! I think it really depends on the insurance........

Although, I feel like even with consistently having the same insurance, I am always told something different Chat Icon It's very frustrating!



Really? Kraupner's told me they wouldn't put it thru any insurance because it's so expensive to make! I paid $100 for my Lupron trigger, when I should have only paid $5 Chat Icon Chat Icon

Posted 12/29/11 6:42 PM
 

PennyCat
Just call me mommy :)

Member since 7/08

19084 total posts

Name:
Jib

Re: Are there any IVF meds usually not covered by insurance?

Posted by OrganicMama

Posted by PennyCat

Posted by OrganicMama

I don't think Lupron is covered either (the pharmacist said they won't even submit it to the ins companies because they don't pay nearly enough for it).



I actually just paid $25 for lupron! I think it really depends on the insurance........

Although, I feel like even with consistently having the same insurance, I am always told something different Chat Icon It's very frustrating!



Really? Kraupner's told me they wouldn't put it thru any insurance because it's so expensive to make! I paid $100 for my Lupron trigger, when I should have only paid $5 Chat Icon Chat Icon



Chat Icon Chat Icon Two words...

Freedom pharmacy!!!!!

Posted 12/29/11 6:50 PM
 

Kris828
Hopeful...

Member since 9/10

1322 total posts

Name:

Re: Are there any IVF meds usually not covered by insurance?

. And ovidriel was never covered and I always paid $105 for it.



Same for me

Posted 12/30/11 12:05 AM
 

PennyCat
Just call me mommy :)

Member since 7/08

19084 total posts

Name:
Jib

Re: Are there any IVF meds usually not covered by insurance?

Posted by Kris828

. And ovidriel was never covered and I always paid $105 for it.



Same for me



Nooo check freedom!! They have it for $65!!!!!

Freedom's price list for those paying out of pocket!


ETA: I just saw that for ovidrel, if you don't order it with other fertility drugs there is a $30 handling fee. That's ridiculous. I'd order it at the same time as other fertility drugs so you don't have to pay that fee obviously.. but otherwise I'd try to talking to someone there to try and get the fee waved. I have ordered Ovidrel from there in the past and they did not have this special fee- although the last time I used Ovidrel was a year ago.

Message edited 12/30/2011 12:13:07 AM.

Posted 12/30/11 12:10 AM
 

CindySN23
Stop, Think & Breathe...

Member since 8/11

3550 total posts

Name:
Cindy

Re: Are there any IVF meds usually not covered by insurance?

I got my HCG shot from Kraupner's with no insurance coverage for meds and it was $72 including delivery.

Posted 12/30/11 7:21 AM
 

LoLaBlue
PARTY OF 5

Member since 6/10

6900 total posts

Name:

Re: Are there any IVF meds usually not covered by insurance?

ITA with Penny....
FREEDOM PHARMACY all the way!!

Posted 12/30/11 7:56 AM
 

OrganicMama
So in love with my little man!

Member since 6/08

5172 total posts

Name:
Mama

Re: Are there any IVF meds usually not covered by insurance?

Posted by PennyCat

Posted by OrganicMama

Posted by PennyCat

Posted by OrganicMama

I don't think Lupron is covered either (the pharmacist said they won't even submit it to the ins companies because they don't pay nearly enough for it).



I actually just paid $25 for lupron! I think it really depends on the insurance........

Although, I feel like even with consistently having the same insurance, I am always told something different Chat Icon It's very frustrating!



Really? Kraupner's told me they wouldn't put it thru any insurance because it's so expensive to make! I paid $100 for my Lupron trigger, when I should have only paid $5 Chat Icon Chat Icon



Chat Icon Chat Icon Two words...

Freedom pharmacy!!!!!



I used them for everything else, but I requested theLupron trigger last minute because I was scared of over stimulating and having my cycle cancelled (good thing I requested it). So they delivered it literally hours before my trigger, lol. I liked Freedom much better!

Posted 12/30/11 9:38 AM
 

VeeJay
Love baby feet

Member since 2/09

2894 total posts

Name:

Re: Are there any IVF meds usually not covered by insurance?

It totally depends on your insurance coverage.
I have Empire NYSHIP all my meds were covered, (I was on BCP, Follistim, Lupron, Neupogen, Lovenox) although I had to use their special mail order pharmacy for some things. The only med I had to pay OOP for was the Viagra suppositories.

ETA: I still had to pay a small copay for each drug, anywhere from $5 to $20 depending on the drug.

Message edited 12/30/2011 11:54:11 AM.

Posted 12/30/11 11:14 AM
 

KMCGK
Gotta have faith

Member since 7/09

2176 total posts

Name:
Keep the Faith

Re: Are there any IVF meds usually not covered by insurance?

Posted by VeeJay

It totally depends on your insurance coverage.
I have Empire NYSHIP all my meds were covered, (I was on BCP, Follistim, Lupron, Neupogen, Lovenox) although I had to use their special mail order pharmacy for some things. The only med I had to pay OOP for was the Viagra suppositories.

ETA: I still had to pay a small copay for each drug, anywhere from $5 to $20 depending on the drug.




Same.

Freedom for Viagra and Accredo for the Neupogen.

Also, Krauppners charges you for needles, alcohol prep and syringe containers where as, Freedom never has.

I always ask Krauppners for a breakdown of my co-pays, etc. just to be sure.

Posted 12/30/11 1:27 PM
 
 

Potentially Related Topics:

Topic Posted By Started Replies Forum
Anyone not covered under insurance and need IVF meds? karacg 11/28/06 6 Infertility
Isn't it weird that my insurance covers unlimited IUIs and IVFs 100%, but the meds aren't covered? Tine73 7/23/09 7 Infertility
Anyone with Empire NYSHIP insurance? Looking for advice on IVF meds ODonnell 12/28/10 9 Infertility
If Your Insurance Covers IVF, How Much Did You Spend on Meds? Tine73 8/16/09 11 Infertility
Great Info on getting IVF meds covered DRMom 11/29/06 3 Infertility
Insurance Coverage for IVF LisaW 10/15/06 7 Infertility
 
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