NYPD Express scripts/GHI coverage for prescriptions..

I just ordered from Freedom and they are checking ins. What should I expect to pay for HCG shots? Are other fertility meds covered with ES? I read some of you mentioned to get the max amount allowed for injectables but how can I find out the max allowed or do I tell my RE this?

Re: NYPD Express scripts/GHI coverage for prescriptions..

my nurses ordered them for me and they did the max

the max was only on injectables

i think i paid around 70 for hcg,always got that bc itis cheaper than ovidrel

Re: NYPD Express scripts/GHI coverage for prescriptions..

Could one of you explain how this works with freedom pharmacy please? Do itell nurses to send prescription then i call with my medco/express scripts info. When i spoke to girl today she said novadrel n another generic brand is covered but ovidrel is not.

This cycle i just paid out pf pocket but next month i plan on going thru freedom just not sure of procedure.

N u say to order max amount n does that include trigger shot?

NYPD Express scripts/GHI coverage for prescriptions..

MY RE office ordered through Freedom. Freedom called and said I had to meet a deductible or something like that on injectibles so I paid $100ish for Trigger- I guess HCG- I don't know the brand name. I think bc I met that deductible the next trigger shot will be covered but I'm not really sure. The Progesterone suppositories- endometrin were cheap like $15. They sent me both things on the date I wanted through FEDEX. I asked my REs office about max amount on trigger and its only 1 per cycle. I think the max amount is supposed to be ordered by your REs office when you are doing an injectible cycle. So if you are doing an injectible cycle ask your REs office to order the max allowed when they call Freedom Pharmacy. Oh and FYI my shot did not come pre-mixed- I'm assuming it was a generic and cheaper thats y the insuracne probably picked that one. I know this is all so complicated and we are learning as we go. Good luck.

Re: NYPD Express scripts/GHI coverage for prescriptions..

Exactly the same. I had to pay $115 to cover the deductible and the co pay for progesterone was $15. I am hoping it will be cheaper next month now that I met the deductible. When I get into the bigger IVF drugs, I will def try and order the max. What do you mean by the shot not being premixed??? Do I have to mix something?? lol

Re: NYPD Express scripts/GHI coverage for prescriptions..

Ovidrel is mixed already while novarel is not. You have to mix the ingredients yourself. Sice i paid out of pocket this cycle i got ovidrel for 126... Novarel the one that u need to mix is more expensive... I really dont kno who makes these rules.. It just sux! I wish we could just order from our local pharmacy!!!!

Re: NYPD Express scripts/GHI coverage for prescriptions..

the hcg-pregnyl shot was not premixed. i did not inject myself though...i went to dr and thy did it for me.

Re: NYPD Express scripts/GHI coverage for prescriptions..

I have a diff rx plan but GHI... I had to order through freedom pharmacy and they went through GHI and I paid a copay, i think it was 15 or 20 I don't remember... but it was generic HCG only... still works the same though.

ETA I always went in with the HCG and the nurses did it for me

Message edited 3/26/2013 9:47:44 AM.

Re: NYPD Express scripts/GHI coverage for prescriptions..

Re: NYPD Express scripts/GHI coverage for prescriptions..

I'm having my brave cop husband do it for me lol he watched the nurse last cycle and I have no time to go in tomorrow so I hope I still have an arm tomorrow.

Re: NYPD Express scripts/GHI coverage for prescriptions..

Re: NYPD Express scripts/GHI coverage for prescriptions..

Re: NYPD Express scripts/GHI coverage for prescriptions..

I ended up making my mom do it lol she's a nurse and mixed everything for me and injected. Didn't feel a thing! Love my mama!